| Date of birth: | 1924 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 075090 |
| SO#: | 73055 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9406041 |
| Booking date: | Apr 3, 1994 |
| Release date: | Apr 12, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,500 |
| Number: | 941004617FS |
| Number: | 892008383TC |
| Amount: | $1,570 |
| Number: | 921001381 |
| Amount: | $250 |
