| Date of birth: | 1934 |
| Hair: | Blonde |
| Eyes: | Brown |
| State id: | 335272 |
| SO#: | 168700 |
| Booked at: | SALT LAKE |
| Cob: | Mississippi |
| Booking number: | 0016796 |
| Booking date: | Jul 12, 2000 |
| Release date: | Sep 13, 2000 |
| Booking location: | Salt Lake County, UT |
| Number: | 001912175MO |
| Amount: | $25,000 |