| Date of birth: | 1939 |
| Hair: | Black |
| State id: | 501164 |
| SO#: | 221482 |
| Booked at: | SALT LAKE |
| Cob: | Louisiana |
| Citizen: | UNITED STATES |
| Booking number: | 0208343 |
| Booking date: | Apr 16, 2002 |
| Release date: | Apr 23, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 991922671 |
| Amount: | $2,500 |