| Date of birth: | 1913 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 212736 |
| Booked at: | SALT LAKE |
| Cob: | Arkansas |
| Booking number: | 9613495 |
| Booking date: | Jul 25, 1996 |
| Release date: | Jul 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 965003125 |
| Amount: | $117 |
