| Date of birth: | 1929 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 192572 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Booking number: | 9321172 |
| Booking date: | Dec 3, 1993 |
| Release date: | Dec 3, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 901012518 |
| Amount: | $5,000 |
| Number: | 911006654 |
| Amount: | $5,000 |