| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 122296 |
| SO#: | 121451 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Booking number: | 9605734 |
| Booking date: | Mar 13, 1996 |
| Release date: | Jun 13, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 951022645FS |
| Amount: | $15,000 |