| Date of birth: | 1930 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 203011 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9508569 |
| Booking date: | Apr 19, 1995 |
| Release date: | Apr 24, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $350 |
| Number: | 9410000951 |
| Amount: | $100 |