| Date of birth: | 1931 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 387820 |
| SO#: | 189696 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Booking number: | 9320857 |
| Booking date: | Nov 27, 1993 |
| Release date: | Nov 29, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 931013807 |
| Amount: | $100 |
| Number: | 935018353 |
| Amount: | $170 |