| Date of birth: | 1936 |
| Hair: | Black |
| Eyes: | Hazel |
| SO#: | 213603 |
| Booked at: | SALT LAKE |
| Cob: | Nevada |
| Booking number: | 9616269 |
| Booking date: | Aug 28, 1996 |
| Release date: | Aug 28, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 951003711 |
| Amount: | $270 |
| Number: | 961004912 |
| Amount: | $575 |
| Number: | 961008566 |
| Amount: | $505 |
| Amount: | $150 |