| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 144695 |
| SO#: | 79778 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9322585 |
| Booking date: | Dec 28, 1993 |
| Release date: | Dec 28, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 902011689 |
| Amount: | $300 |
| Number: | 931000282 |
| Amount: | $1,450 |