| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 325564 |
| SO#: | 184159 |
| Booked at: | SALT LAKE |
| Cob: | Mississippi |
| Booking number: | 9612467 |
| Booking date: | Jul 12, 1996 |
| Release date: | Jul 23, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 950051322TN |
| Amount: | $110 |
| Number: | 951002070 |
| Amount: | $200 |