| Date of birth: | 1930 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 408643 |
| SO#: | 196716 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9523995 |
| Booking date: | Nov 13, 1995 |
| Release date: | Apr 5, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 941016916FS |
| Amount: | $10,000 |
| Number: | 951901611FS |