| Date of birth: | 1923 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 146418 |
| SO#: | 80846 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9411027 |
| Booking date: | Jun 18, 1994 |
| Release date: | Jul 18, 1994 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9410557 |
| Booking date: | Jun 11, 1994 |
| Release date: | Jun 11, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | 941008711 |
| Amount: | $500 |