| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 272031 |
| SO#: | 148326 |
| Booked at: | SALT LAKE |
| Cob: | Maine |
| Booking number: | 9409457 |
| Booking date: | May 25, 1994 |
| Release date: | Jun 21, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921007394 |
| Amount: | $1,000 |