| Date of birth: | 1925 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 192257 |
| Booked at: | SALT LAKE |
| Cob: | Pennsylvania |
| Booking number: | 9320131 |
| Booking date: | Nov 15, 1993 |
| Release date: | Jan 13, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100,000 |
| Number: | 931015869FS |