| Date of birth: | 1930 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 437557 |
| SO#: | 207136 |
| Booked at: | SALT LAKE |
| Cob: | New Hampshire |
| Booking number: | 9608332 |
| Booking date: | Apr 18, 1996 |
| Release date: | May 4, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961000533 |
| Amount: | $103 |
| Number: | 961003865 |
| Amount: | $2,500 |
