| Date of birth: | 1952 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 198372 |
| Booked at: | SALT LAKE |
| Booking number: | 9417897 |
| Booking date: | Sep 23, 1994 |
| Release date: | Sep 25, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $130 |
| Number: | 935004006 |
| Amount: | $205 |
| Number: | NA |
| Amount: | $250 |
