| Date of birth: | 1940 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 359326 |
| SO#: | 178203 |
| Booked at: | SALT LAKE |
| Cob: | Louisiana |
| Booking number: | 9917597 |
| Booking date: | Jul 18, 1999 |
| Release date: | Jul 19, 1999 |
| Booking location: | Salt Lake County, UT |
| Amount: | $655 |
| Number: | 981292233 |
| Amount: | $1,500 |
