| Date of birth: | 1943 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 0428439 |
| SO#: | 204254 |
| Booked at: | SALT LAKE |
| Cob: | Louisiana |
| Booking number: | 9517817 |
| Booking date: | Aug 23, 1995 |
| Release date: | Aug 28, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $350 |
| Number: | 951014398 |
| Amount: | $2,500 |