| Date of birth: | 1921 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 202091 |
| SO#: | 117101 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9506747 |
| Booking date: | Mar 28, 1995 |
| Release date: | Apr 4, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 925027720 |
| Amount: | $1,005 |
| Number: | 935010819 |
| Amount: | $505 |
| Number: | 935027510 |
| Amount: | $1,005 |
