| Date of birth: | 1936 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 209553 |
| Booked at: | SALT LAKE |
| Cob: | Mississippi |
| Booking number: | 9603015 |
| Booking date: | Feb 8, 1996 |
| Release date: | Feb 14, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $5,000 |
| Number: | 961002704MS |
| Amount: | $2,500 |