| Date of birth: | 1932 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 330243 |
| SO#: | 194929 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9406680 |
| Booking date: | Apr 14, 1994 |
| Release date: | May 31, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 935032916 |
| Amount: | $1,005 |