| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 191599 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9321549 |
| Booking date: | Dec 9, 1993 |
| Release date: | Dec 20, 1993 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 931014972 |
| Amount: | $250 |
