| Date of birth: | 1932 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 470804 |
| SO#: | 219723 |
| Booked at: | SALT LAKE |
| Cob: | Missouri |
| Booking number: | 0115579 |
| Booking date: | Jun 27, 2001 |
| Release date: | Jul 3, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 97-02435 |
| Amount: | $249 |
| Number: | 995108356 |
| Amount: | $844 |