| Date of birth: | 1919 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 0247184 |
| SO#: | 137433 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9622695 |
| Booking date: | Nov 15, 1996 |
| Release date: | Jan 31, 1997 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9616039 |
| Booking date: | Aug 25, 1996 |
| Release date: | Aug 25, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 965009879TC |