| Date of birth: | 1931 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 358500 |
| SO#: | 177878 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 9320059 |
| Booking date: | Nov 13, 1993 |
| Release date: | Nov 18, 1993 |
| Booking location: | Salt Lake County, UT |
| Amount: | $6,050 |
| Number: | D661-79,80 |
| Amount: | $600 |