| Date of birth: | 1947 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 287409 |
| Booked at: | SALT LAKE |
| Cob: | Arkansas |
| Citizen: | UNITED STATES |
| Booking number: | 0507630 |
| Booking date: | Mar 30, 2005 |
| Release date: | Mar 31, 2005 |
| Booking location: | Salt Lake County, UT |
| Amount: | $555 |
| Number: | 05CR03493 |