| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 200749 |
| Booked at: | SALT LAKE |
| Cob: | Idaho |
| Booking number: | 9500932 |
| Booking date: | Jan 13, 1995 |
| Release date: | Jan 13, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 204934004838 |
| Amount: | $150 |
| Number: | 935009759 |
| Amount: | $130 |