| Date of birth: | 1937 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 432557 |
| SO#: | 206767 |
| Booked at: | SALT LAKE |
| Cob: | Kentucky |
| Booking number: | 9521029 |
| Booking date: | Oct 3, 1995 |
| Release date: | Oct 4, 1995 |
| Booking location: | Salt Lake County, UT |
| Number: | 951014656 |
| Amount: | $124 |