| Date of birth: | 1936 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 408022 |
| SO#: | 196406 |
| Booked at: | SALT LAKE |
| Cob: | West Virginia |
| Booking number: | 9516810 |
| Booking date: | Aug 8, 1995 |
| Release date: | Oct 5, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 941009800 |
| Amount: | $5,000 |
| Number: | 951014256 |
| Amount: | $1,000 |