| Date of birth: | 1925 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 260330 |
| SO#: | 211754 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9610477 |
| Booking date: | Jun 1, 1996 |
| Release date: | Jun 7, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,500 |
| Number: | 961011387MS |
| Amount: | $1,000 |
