| Date of birth: | 1922 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 075535 |
| SO#: | 193247 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9506778 |
| Booking date: | Mar 29, 1995 |
| Release date: | Apr 11, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 945006420 |
| Amount: | $396 |
| Number: | D673-288 |
| Amount: | $840 |