| Date of birth: | 1930 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 383417 |
| SO#: | 187494 |
| Booked at: | SALT LAKE |
| Booking number: | 9422167 |
| Booking date: | Nov 24, 1994 |
| Release date: | Apr 5, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $350 |
| Number: | 93-1008904FS |
| Amount: | $5,000 |
| Number: | 93-1900440FS |