| Date of birth: | 1937 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 200024 |
| Booked at: | SALT LAKE |
| Cob: | Wyoming |
| Booking number: | 9423237 |
| Booking date: | Dec 10, 1994 |
| Release date: | Dec 13, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 941019893 |
| Amount: | $2,500 |
