| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 488532 |
| SO#: | 239584 |
| Booked at: | SALT LAKE |
| Cob: | Tennessee |
| Booking number: | 9929932 |
| Booking date: | Dec 6, 1999 |
| Release date: | Dec 6, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991400777 |
| Amount: | $1,500 |