| Date of birth: | 1925 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 915424 |
| SO#: | 82704 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Citizen: | UNITED STATES |
| Booking number: | 0420005 |
| Booking date: | Aug 21, 2004 |
| Release date: | Aug 21, 2004 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9412304 |
| Booking date: | Jul 7, 1994 |
| Release date: | Jul 7, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,200 |
| Number: | 03CR03181 |
| Amount: | $2,500 |
