| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 188250 |
| Booked at: | SALT LAKE |
| Cob: | Minnesota |
| Booking number: | 9527028 |
| Booking date: | Dec 26, 1995 |
| Release date: | Dec 26, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 925026658 |
| Amount: | $505 |
| Number: | 951024058MS |
| Number: | 955002572 |
| Amount: | $259 |
| Number: | D671-068 |
| Amount: | $300 |