| Date of birth: | 1935 |
| Hair: | Brown |
| Eyes: | Hazel |
| SO#: | 204670 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9514428 |
| Booking date: | Jul 7, 1995 |
| Release date: | Jul 17, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $850 |
| Number: | 925015486 |
| Amount: | $285 |