| Date of birth: | 1935 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 283182 |
| SO#: | 153411 |
| Booked at: | SALT LAKE |
| Cob: | Ohio |
| Booking number: | 9407184 |
| Booking date: | Apr 21, 1994 |
| Release date: | Jun 22, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 941002146FS |
| Amount: | $25,000 |