| Date of birth: | 1911 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 381430 |
| SO#: | 187265 |
| Booked at: | SALT LAKE |
| Cob: | Alabama |
| Booking number: | 9409127 |
| Booking date: | May 19, 1994 |
| Release date: | Jun 1, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931900431FS |