| Date of birth: | 1937 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 463491 |
| SO#: | 215521 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9622437 |
| Booking date: | Nov 12, 1996 |
| Release date: | Nov 16, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $10,000 |
| Number: | 961024009FS |
| Amount: | $2,500 |