| Date of birth: | 1935 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 207794 |
| SO#: | 120022 |
| Booked at: | SALT LAKE |
| Cob: | Illinois |
| Booking number: | 9322277 |
| Booking date: | Dec 21, 1993 |
| Release date: | Jan 3, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931015762 |
| Amount: | $505 |