| Date of birth: | 1931 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 303531 |
| SO#: | 209574 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9603082 |
| Booking date: | Feb 8, 1996 |
| Release date: | Feb 9, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $150 |
| Number: | 961000980 |
| Amount: | $505 |
