| Date of birth: | 1940 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 168128 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9415346 |
| Booking date: | Aug 20, 1994 |
| Release date: | Aug 21, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 912041563TC |
| Amount: | $255 |
| Number: | 931012025 |
| Amount: | $505 |