| Date of birth: | 1961 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 446407 |
| SO#: | 211573 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9609876 |
| Booking date: | May 21, 1996 |
| Release date: | May 21, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961009833FS |
| Amount: | $1,500 |