| Date of birth: | 1914 |
| Hair: | Gray or partially gray |
| Eyes: | Hazel |
| State id: | 069287 |
| SO#: | 27613 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9516989 |
| Booking date: | Aug 10, 1995 |
| Release date: | Aug 10, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 95-1014348FS |
| Amount: | $25,000 |