| Date of birth: | 1936 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 191930 |
| Booked at: | SALT LAKE |
| Booking number: | 9319128 |
| Booking date: | Oct 29, 1993 |
| Release date: | Oct 29, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 901014229 |
| Amount: | $505 |
| Number: | TR91-793 |
| Amount: | $195 |