| Date of birth: | 1922 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 353763 |
| SO#: | 184419 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9419809 |
| Booking date: | Oct 22, 1994 |
| Release date: | Oct 22, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 20322631643 |
| Amount: | $80 |
| Number: | 203933001539 |
| Amount: | $160 |
| Number: | 912009416 |
| Amount: | $650 |
