| Date of birth: | 1943 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 604143 |
| SO#: | 262311 |
| Booked at: | SALT LAKE |
| Cob: | Louisiana |
| Booking number: | 0207250 |
| Booking date: | Apr 3, 2002 |
| Release date: | Apr 3, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 021904010FS |
| Amount: | $5,000 |