| Date of birth: | 1930 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 247547 |
| SO#: | 51207 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9410929 |
| Booking date: | Jun 16, 1994 |
| Release date: | Jun 22, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 935012928 |
| Amount: | $340 |
| Number: | D604-321 |
| Amount: | $120 |
