| Date of birth: | 1937 |
| Hair: | Black |
| Eyes: | Green |
| State id: | 373610 |
| SO#: | 184252 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Booking number: | 9521265 |
| Booking date: | Oct 6, 1995 |
| Release date: | Oct 7, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 925026906 |
| Amount: | $2,000 |
| Number: | 952000370 |
| Amount: | $170 |
| Number: | 955001894 |
| Amount: | $862 |
