| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 304910 |
| SO#: | 161557 |
| Booked at: | SALT LAKE |
| Cob: | Minnesota |
| Booking number: | 9412931 |
| Booking date: | Jul 16, 1994 |
| Release date: | Jul 16, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 911001760 |
| Amount: | $505 |
| Number: | 935006193 |
| Amount: | $470 |
| Number: | D636-449 |
| Amount: | $190 |
