| Date of birth: | 1935 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 356611 |
| SO#: | 177141 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9405823 |
| Booking date: | Mar 31, 1994 |
| Release date: | Apr 1, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 921010663 |
| Amount: | $1,000 |
| Number: | 921900342FS |
| Amount: | $5,000 |