| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 353034 |
| SO#: | 175362 |
| Booked at: | SALT LAKE |
| Cob: | Georgia |
| Booking number: | 9321781 |
| Booking date: | Dec 13, 1993 |
| Release date: | Dec 14, 1993 |
| Booking location: | Salt Lake County, UT |
| Number: | 912031344TC |
| Amount: | $1,075 |
| Number: | 925027783 |
| Amount: | $250 |
