| Date of birth: | 1936 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 411354 |
| SO#: | 197403 |
| Booked at: | SALT LAKE |
| Cob: | Louisiana |
| Booking number: | 9509286 |
| Booking date: | Apr 29, 1995 |
| Release date: | May 31, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $250 |
| Number: | 941011681 |
| Amount: | $1,505 |