| Date of birth: | 1912 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| SO#: | 82446 |
| Booked at: | SALT LAKE |
| Cob: | Arizona |
| Booking number: | 9319485 |
| Booking date: | Nov 4, 1993 |
| Release date: | Nov 8, 1993 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 543-306 |
| Amount: | $200 |