| Date of birth: | 1936 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0413188 |
| SO#: | 194755 |
| Booked at: | SALT LAKE |
| Cob: | North Carolina |
| Booking number: | 9600894 |
| Booking date: | Jan 12, 1996 |
| Release date: | Mar 2, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 5-9450001850 |
| Amount: | $100 |
| Number: | 941016531FS |
| Amount: | $20,000 |
| Number: | 961003120FS |
| Amount: | $5,000 |
| Number: | D678-048 |
| Amount: | $580 |
| Number: | W876489743 |