| Date of birth: | 1934 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 157364 |
| SO#: | 89852 |
| Booked at: | SALT LAKE |
| Cob: | Florida |
| Booking number: | 9521119 |
| Booking date: | Oct 4, 1995 |
| Release date: | Oct 8, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,000 |
| Number: | 951001449 |
| Amount: | $1,250 |