| Date of birth: | 1930 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 101875 |
| SO#: | 49534 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9619174 |
| Booking date: | Oct 2, 1996 |
| Release date: | Oct 2, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $150 |
| Number: | 951020789 |
| Amount: | $1,500 |
| Number: | 951021337 |
| Amount: | $2,500 |
