| Date of birth: | 1929 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 176369 |
| SO#: | 103649 |
| Booked at: | SALT LAKE |
| Cob: | California |
| Booking number: | 9520531 |
| Booking date: | Sep 27, 1995 |
| Release date: | Oct 20, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 931900160FS |
| Number: | 951006799 |
| Amount: | $5,000 |