| Date of birth: | 1932 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 154249 |
| SO#: | 87232 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Booking number: | 9405901 |
| Booking date: | Apr 1, 1994 |
| Release date: | Apr 1, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 860005120 |
| Amount: | $1,000 |