| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 222097 |
| SO#: | 135482 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9412323 |
| Booking date: | Jul 7, 1994 |
| Release date: | Jul 14, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $300 |
| Number: | 941007921 |
| Amount: | $1,000 |
