| Date of birth: | 1934 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 110003 |
| SO#: | 50973 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9321865 |
| Booking date: | Dec 14, 1993 |
| Release date: | Dec 20, 1993 |
| Booking location: | Salt Lake County, UT |
| Amount: | $150 |
| Number: | 610-455 |
| Amount: | $85 |
| Number: | 892013346 |
| Amount: | $130 |