| Date of birth: | 1913 |
| Hair: | Gray or partially gray |
| Eyes: | Blue |
| State id: | 459171 |
| SO#: | 213793 |
| Booked at: | SALT LAKE |
| Booking number: | 9622138 |
| Booking date: | Nov 8, 1996 |
| Release date: | Nov 16, 1996 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9616901 |
| Booking date: | Sep 5, 1996 |
| Release date: | Sep 5, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961018485FS |
| Amount: | $25,000 |
