| Date of birth: | 1930 |
| Hair: | Black |
| Eyes: | Blue |
| State id: | 332996 |
| SO#: | 168168 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Booking number: | 9602559 |
| Booking date: | Feb 2, 1996 |
| Release date: | Feb 2, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 951022774 |
| Amount: | $5,000 |
| Number: | 951024644 |
| Amount: | $500 |