| Date of birth: | 1920 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 085176 |
| SO#: | 30810 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9408852 |
| Booking date: | May 15, 1994 |
| Release date: | May 31, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 945004709 |
| Amount: | $500 |