| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0175640 |
| SO#: | 103253 |
| Booked at: | SALT LAKE |
| Cob: | Montana |
| Booking number: | 9521189 |
| Booking date: | Oct 5, 1995 |
| Release date: | Oct 10, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 5123 |
| Amount: | $170 |
| Number: | 951002636 |
| Amount: | $370 |
| Number: | 955004260 |
| Amount: | $172 |
| Number: | 955008530 |
| Amount: | $430 |
