| Date of birth: | 1931 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 203701 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9511131 |
| Booking date: | May 21, 1995 |
| Release date: | May 25, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $705 |
| Number: | 951006855 |
| Amount: | $250 |