| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 193862 |
| Booked at: | SALT LAKE |
| Cob: | Louisiana |
| Booking number: | 9402897 |
| Booking date: | Feb 15, 1994 |
| Release date: | Feb 23, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $500 |
| Number: | D657-270 |
| Amount: | $120 |