| Date of birth: | 1932 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 197127 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Booking number: | 9417121 |
| Booking date: | Sep 13, 1994 |
| Release date: | Sep 13, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $300 |
| Number: | 941011889 |
| Amount: | $2,500 |