| Date of birth: | 1933 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 086770 |
| SO#: | 40225 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9716508 |
| Booking date: | Jul 22, 1997 |
| Release date: | Jul 22, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 20494401164 |
| Amount: | $1,500 |
| Number: | 935001915 |
| Amount: | $1,070 |
| Number: | 955004979 |
| Amount: | $1,290 |
