| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 365297 |
| SO#: | 203161 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9509161 |
| Booking date: | Apr 27, 1995 |
| Release date: | Apr 28, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | D670-394 |
| Amount: | $150 |