| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 163060 |
| Booked at: | SALT LAKE |
| Cob: | Colorado |
| Booking number: | 9511650 |
| Booking date: | May 28, 1995 |
| Release date: | May 28, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 945001799 |
| Amount: | $450 |
| Number: | 955000743 |
| Amount: | $414 |