| Date of birth: | 1936 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 252305 |
| SO#: | 139796 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9712325 |
| Booking date: | May 31, 1997 |
| Release date: | Jun 1, 1997 |
| Booking location: | Salt Lake County, UT |
| Amount: | $100 |
| Number: | 941004875 |
| Amount: | $1,000 |
