| Date of birth: | 1921 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 075632 |
| SO#: | 34174 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9421103 |
| Booking date: | Nov 9, 1994 |
| Release date: | Feb 17, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 941019555FS |
| Amount: | $5,000 |
| Number: | 941400118 |
| Number: | D667-027 |
| Amount: | $830 |
| Amount: | $5,000 |
