| Date of birth: | 1944 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 334446 |
| SO#: | 90241 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9814692 |
| Booking date: | Jun 27, 1998 |
| Release date: | Jun 27, 1998 |
| Booking location: | Salt Lake County, UT |
| Number: | 975006652 |
| Amount: | $840 |