| Date of birth: | 1924 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 289407 |
| SO#: | 194169 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9415278 |
| Booking date: | Aug 19, 1994 |
| Release date: | Aug 22, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 2-942001510 |
| Amount: | $305 |
| Number: | D667-473 |
| Amount: | $370 |