| Date of birth: | 1925 |
| Hair: | Brown |
| Eyes: | Green |
| State id: | 238620 |
| SO#: | 133408 |
| Booked at: | SALT LAKE |
| Cob: | Arkansas |
| Booking number: | 9707963 |
| Booking date: | Apr 7, 1997 |
| Release date: | Apr 7, 1997 |
| Booking location: | Salt Lake County, UT |
| Number: | 945000064 |
| Amount: | $10,070 |