| Date of birth: | 1948 |
| Hair: | Brown |
| Eyes: | Hazel |
| State id: | 340413 |
| SO#: | 227790 |
| Booked at: | SALT LAKE |
| Cob: | Georgia |
| Citizen: | UNITED STATES |
| Booking number: | 0313557 |
| Booking date: | May 28, 2003 |
| Release date: | May 28, 2003 |
| Booking location: | Salt Lake County, UT |
| Amount: | $1,500 |