| Date of birth: | 1953 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 354782 |
| SO#: | 175801 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 9414687 |
| Booking date: | Aug 10, 1994 |
| Release date: | Dec 27, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 911901201 |
| Number: | 925016511 |
| Amount: | $235 |