| Date of birth: | 1933 |
| Hair: | Sandy |
| Eyes: | Green |
| State id: | 211542 |
| SO#: | 121390 |
| Booked at: | SALT LAKE |
| Cob: | Minnesota |
| Booking number: | 9412977 |
| Booking date: | Jul 17, 1994 |
| Release date: | Aug 19, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | CR930086 |
| Amount: | $1,075 |