| Date of birth: | 1916 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| SO#: | 195796 |
| Booked at: | SALT LAKE |
| Cob: | New York |
| Booking number: | 9409450 |
| Booking date: | May 25, 1994 |
| Release date: | May 25, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 941006319FS |
| Amount: | $10,000 |
