| Date of birth: | 1912 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 417329 |
| SO#: | 199947 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9424416 |
| Booking date: | Dec 25, 1994 |
| Release date: | Dec 27, 1994 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9422987 |
| Booking date: | Dec 6, 1994 |
| Release date: | Dec 7, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Amount: | $300 |
