| Date of birth: | 1933 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 205444 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9517025 |
| Booking date: | Aug 10, 1995 |
| Release date: | Aug 11, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 931011686 |
| Amount: | $505 |