| Date of birth: | 1934 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 159245 |
| SO#: | 91555 |
| Booked at: | SALT LAKE |
| Cob: | South Dakota |
| Booking number: | 9416729 |
| Booking date: | Sep 7, 1994 |
| Release date: | Sep 15, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 931004109 |
| Amount: | $400 |
| Number: | 931013613 |
| Amount: | $150 |
