| Date of birth: | 1958 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 411455 |
| SO#: | 196179 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Booking number: | 9418170 |
| Booking date: | Sep 26, 1994 |
| Release date: | Sep 27, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 941003151 |
| Amount: | $500 |