| Date of birth: | 1936 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 229751 |
| SO#: | 129428 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9403363 |
| Booking date: | Feb 22, 1994 |
| Release date: | Feb 25, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931017513FS |
| Amount: | $10,000 |
| Number: | 94-192 |
