| Date of birth: | 1938 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 145864 |
| SO#: | 80229 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9409621 |
| Booking date: | May 27, 1994 |
| Release date: | Aug 10, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 925020751 |
| Amount: | $1,005 |
