| Date of birth: | 1924 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 075235 |
| SO#: | 33932 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9404021 |
| Booking date: | Mar 4, 1994 |
| Release date: | Dec 7, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 862001390 |
| Amount: | $1,182 |
| Number: | 931001139 |
| Amount: | $120 |