| Date of birth: | 1934 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 192692 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9321647 |
| Booking date: | Dec 11, 1993 |
| Release date: | Dec 11, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 872006590 |
| Amount: | $500 |
| Number: | D658-026 |
| Amount: | $170 |