| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 372473 |
| SO#: | 195600 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9408829 |
| Booking date: | May 14, 1994 |
| Release date: | May 26, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931002635 |
| Amount: | $1,005 |