| Date of birth: | 1944 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 0450296 |
| SO#: | 222859 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9720996 |
| Booking date: | Sep 14, 1997 |
| Release date: | Sep 14, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 961015684 |
| Amount: | $2,500 |