| Date of birth: | 1927 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 082736 |
| SO#: | 42056 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9321562 |
| Booking date: | Dec 9, 1993 |
| Release date: | Jan 20, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921015417MS |
| Amount: | $2,500 |
| Amount: | $300 |