| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 400201 |
| SO#: | 193650 |
| Booked at: | SALT LAKE |
| Cob: | Georgia |
| Booking number: | 9421557 |
| Booking date: | Nov 15, 1994 |
| Release date: | Dec 10, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $2,100 |
| Number: | 941019820FS |
| Amount: | $5,000 |