| Date of birth: | 1920 |
| Hair: | White |
| Eyes: | Blue |
| State id: | 51822 |
| SO#: | 239708 |
| Booked at: | SALT LAKE |
| Cob: | South Carolina |
| Booking number: | 9922589 |
| Booking date: | Sep 12, 1999 |
| Release date: | Sep 12, 1999 |
| Booking location: | Salt Lake County, UT |
| Number: | 991400676 |
| Amount: | $2,500 |