| Date of birth: | 1929 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 349948 |
| SO#: | 174420 |
| Booked at: | SALT LAKE |
| Cob: | North Dakota |
| Booking number: | 9403170 |
| Booking date: | Feb 18, 1994 |
| Release date: | Feb 20, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,300 |
| Number: | 935024003TC |
| Amount: | $1,500 |