| Date of birth: | 1937 |
| State id: | 464102 |
| SO#: | 203423 |
| Booked at: | SALT LAKE |
| Booking number: | 9510101 |
| Booking date: | May 9, 1995 |
| Release date: | May 9, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $980 |
| Number: | 925008179 |
| Amount: | $295 |
| Number: | TR924486 |
| Amount: | $755 |