| Date of birth: | 1924 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 130023 |
| SO#: | 69834 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9410729 |
| Booking date: | Jun 13, 1994 |
| Release date: | Jun 17, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 891001866 |
| Amount: | $185 |
| Number: | 931003425 |
| Amount: | $220 |