| Date of birth: | 1948 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 280497 |
| SO#: | 237117 |
| Booked at: | SALT LAKE |
| Cob: | Texas |
| Booking number: | 9912874 |
| Booking date: | May 25, 1999 |
| Release date: | May 25, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 961022951 |
| Amount: | $2,500 |