| Date of birth: | 1929 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 181862 |
| Booked at: | SALT LAKE |
| Cob: | Washington |
| Booking number: | 9422839 |
| Booking date: | Dec 4, 1994 |
| Release date: | Dec 4, 1994 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9408975 |
| Booking date: | May 17, 1994 |
| Release date: | May 17, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 941005432FS |
| Number: | 945001402 |
| Amount: | $300 |