| Date of birth: | 1944 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 538456 |
| SO#: | 260213 |
| Booked at: | SALT LAKE |
| Cob: | Tennessee |
| Booking number: | 0130996 |
| Booking date: | Dec 22, 2001 |
| Release date: | Dec 26, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 011917768 |
| Amount: | $2,500 |