| Date of birth: | 1945 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 122268 |
| Booked at: | SALT LAKE |
| Cob: | Mississippi |
| Citizen: | UNITED STATES |
| Booking number: | 0212015 |
| Booking date: | May 30, 2002 |
| Release date: | Jun 3, 2002 |
| Booking location: | Salt Lake County, UT |
| Number: | 021906626 |
| Amount: | $2,500 |