| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 326556 |
| SO#: | 166624 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Booking number: | 9405255 |
| Booking date: | Mar 22, 1994 |
| Release date: | Mar 25, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 901000442MS |
| Amount: | $1,500 |