| Date of birth: | 1939 |
| Hair: | Blonde |
| Eyes: | Blue |
| State id: | 0293921 |
| SO#: | 158161 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9522893 |
| Booking date: | Oct 28, 1995 |
| Release date: | Nov 3, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 950053524MC |
| Amount: | $470 |