| Date of birth: | 1916 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 335739 |
| SO#: | 168993 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9410813 |
| Booking date: | Jun 14, 1994 |
| Release date: | Jun 18, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 901007485 |
| Amount: | $420 |
| Number: | 921010116 |
| Amount: | $505 |