| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Blue |
| State id: | 0325516 |
| SO#: | 168431 |
| Booked at: | SALT LAKE |
| Cob: | Arkansas |
| Booking number: | 9520003 |
| Booking date: | Sep 21, 1995 |
| Release date: | Oct 30, 1995 |
| Booking location: | Salt Lake County, UT |
| Amount: | $15,000 |
| Number: | 951018810FS |
| Amount: | $2,000 |