| Date of birth: | 1915 |
| State id: | 338927 |
| SO#: | 170067 |
| Booked at: | SALT LAKE |
| Booking number: | 9620230 |
| Booking date: | Oct 15, 1996 |
| Release date: | Oct 15, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9525007 |
| Booking date: | Nov 28, 1995 |
| Release date: | Dec 4, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $250 |
| Number: | 95-1278 |
| Amount: | $400 |