| Date of birth: | 1935 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 213033 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9614426 |
| Booking date: | Aug 5, 1996 |
| Release date: | Aug 5, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 96080011 |
| Amount: | $1,500 |