| Date of birth: | 1930 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 274271 |
| SO#: | 169136 |
| Booked at: | SALT LAKE |
| Cob: | Oklahoma |
| Booking number: | 9401574 |
| Booking date: | Jan 24, 1994 |
| Release date: | Feb 23, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 902025178 |
| Amount: | $2,500 |
| Number: | 911000503 |
| Amount: | $270 |
| Number: | 912102051 |
| Amount: | $395 |
