| Date of birth: | 1944 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 338939 |
| SO#: | 178732 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9417847 |
| Booking date: | Sep 22, 1994 |
| Release date: | Oct 4, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931003955 |
| Amount: | $370 |
| Number: | 931900482 |