| Date of birth: | 1932 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 203922 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9511873 |
| Booking date: | May 31, 1995 |
| Release date: | Jun 1, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 941018283 |
| Amount: | $505 |