| Date of birth: | 1916 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 163659 |
| Booked at: | SALT LAKE |
| Cob: | Michigan |
| Booking number: | 9506173 |
| Booking date: | Mar 21, 1995 |
| Release date: | Mar 21, 1995 |
| Booking location: | Salt Lake County, UT |
| Booking number: | 9418275 |
| Booking date: | Sep 28, 1994 |
| Release date: | Oct 3, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $150 |
| Number: | 941006737 |
| Amount: | $95 |
| Amount: | $250 |
| Number: | D677 244 |
| Amount: | $120 |
