| Date of birth: | 1955 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 393065 |
| SO#: | 198814 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9419362 |
| Booking date: | Oct 15, 1994 |
| Release date: | Oct 19, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $700 |
| Number: | 935801276 |
| Amount: | $1,270 |