| Date of birth: | 1932 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | SEE BELOW |
| SO#: | 208558 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9603110 |
| Booking date: | Feb 9, 1996 |
| Release date: | Feb 9, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $101,000 |
| Number: | 3-953005996 |
| Amount: | $705 |
| Number: | 951025129 |
| Amount: | $1,005 |
