| Date of birth: | 1936 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 318912 |
| SO#: | 164427 |
| Booked at: | SALT LAKE |
| Cob: | Oregon |
| Booking number: | 9404190 |
| Booking date: | Mar 7, 1994 |
| Release date: | Mar 17, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,500 |
| Number: | 941003399MS |
| Amount: | $2,000 |
