| Date of birth: | 1951 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 1039825 |
| SO#: | 276180 |
| Booked at: | SALT LAKE |
| Cob: | Mississippi |
| Citizen: | UNITED STATES |
| Booking number: | 0408527 |
| Booking date: | Apr 5, 2004 |
| Release date: | Apr 9, 2004 |
| Booking location: | Salt Lake County, UT |
| Number: | 035015627 |
| Amount: | $2,505 |
| Number: | 045000465 |
| Amount: | $250 |
