| Date of birth: | 1923 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 196963 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 9413252 |
| Booking date: | Jul 21, 1994 |
| Release date: | Aug 2, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,200 |
| Number: | 941011610FS |
| Amount: | $5,000 |
