| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 410530 |
| SO#: | 197501 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9507235 |
| Booking date: | Apr 3, 1995 |
| Release date: | May 10, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 945009317 |
| Amount: | $164 |