| Date of birth: | 1933 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 095193 |
| SO#: | 44304 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9526680 |
| Booking date: | Dec 20, 1995 |
| Release date: | Feb 22, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,150 |
| Number: | 951015187 |
| Amount: | $505 |
| Number: | 951019889 |
| Amount: | $199 |
| Number: | 951025139FS |
| Amount: | $500 |