| Date of birth: | 1942 |
| Hair: | Black |
| Eyes: | Brown |
| State id: | 395276 |
| SO#: | 195441 |
| Booked at: | SALT LAKE |
| Cob: | Louisiana |
| Booking number: | 9423842 |
| Booking date: | Dec 17, 1994 |
| Release date: | Dec 22, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 931014990 |
| Amount: | $505 |