| Date of birth: | 1920 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 217202 |
| SO#: | 217202 |
| Booked at: | SALT LAKE |
| Booking number: | 9701791 |
| Booking date: | Jan 23, 1997 |
| Release date: | Jan 24, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 204964002824 |
| Amount: | $600 |
| Number: | 5-965004875 |
| Amount: | $1,500 |
| Number: | 96-03923 |
| Amount: | $775 |