| Date of birth: | 1945 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 128867 |
| SO#: | 68897 |
| Booked at: | SALT LAKE |
| Cob: | Georgia |
| Booking number: | 0010561 |
| Booking date: | Apr 26, 2000 |
| Release date: | Feb 16, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 002001874 |
| Amount: | $480 |