| Date of birth: | 1928 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 202517 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9506883 |
| Booking date: | Mar 30, 1995 |
| Release date: | Mar 30, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 935003859 |
| Amount: | $130 |
| Number: | 945013155 |
| Amount: | $372 |