| Date of birth: | 1938 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 101024 |
| SO#: | 51253 |
| Booked at: | SALT LAKE |
| Cob: | Mississippi |
| Booking number: | 0128879 |
| Booking date: | Nov 26, 2001 |
| Release date: | Dec 11, 2001 |
| Booking location: | Salt Lake County, UT |
| Number: | 011910392 |
| Amount: | $2,500 |
| Number: | 011917552 |
| Amount: | $2,500 |