| Date of birth: | 1935 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 366208 |
| SO#: | 181509 |
| Booked at: | SALT LAKE |
| Cob: | Nebraska |
| Booking number: | 9519908 |
| Booking date: | Sep 19, 1995 |
| Release date: | Oct 3, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 931013614 |
| Amount: | $500 |
| Number: | 951008813 |
| Amount: | $199 |