| Date of birth: | 1934 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 147765 |
| SO#: | 77492 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 9506006 |
| Booking date: | Mar 19, 1995 |
| Release date: | Aug 4, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $150 |
| Number: | 941020675 |
| Amount: | $500 |
| Number: | 945028992 |
| Amount: | $1,505 |
