| Date of birth: | 1935 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 216987 |
| SO#: | 123698 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9419648 |
| Booking date: | Oct 20, 1994 |
| Release date: | Oct 21, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $15,800 |
| Number: | 881001380 |
| Amount: | $565 |
| Number: | 915000040 |
| Amount: | $180 |
| Number: | 915001315 |
| Amount: | $1,000 |
| Number: | 94-1039 |
