| Date of birth: | 1939 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 177766 |
| Booked at: | SALT LAKE |
| Cob: | Hawaii |
| Booking number: | 9508914 |
| Booking date: | Apr 23, 1995 |
| Release date: | Apr 23, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 5-945004788 |
| Amount: | $255 |
| Number: | 5-955000845 |
| Amount: | $610 |