| Date of birth: | 1937 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| SO#: | 211782 |
| Booked at: | SALT LAKE |
| Cob: | Massachusetts |
| Booking number: | 9620277 |
| Booking date: | Oct 16, 1996 |
| Release date: | Oct 16, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9610580 |
| Booking date: | Jun 4, 1996 |
| Release date: | Jun 4, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 962004497 |
| Amount: | $500 |
