| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 202574 |
| Booked at: | SALT LAKE |
| Cob: | Kansas |
| Booking number: | 9507072 |
| Booking date: | Apr 1, 1995 |
| Release date: | Apr 1, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 5-955000521 |
| Amount: | $110 |