| Date of birth: | 1928 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 182505 |
| SO#: | 118427 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Booking number: | 9413360 |
| Booking date: | Jul 22, 1994 |
| Release date: | Jul 29, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 911000370 |
| Amount: | $10,000 |