| Date of birth: | 1939 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 94899 |
| Booked at: | SALT LAKE |
| Cob: | Mississippi |
| Booking number: | 9421916 |
| Booking date: | Nov 20, 1994 |
| Release date: | Nov 21, 1994 |
| Booking location: | Salt Lake County, UT |
| Number: | 2-2192-200AB |
| Amount: | $45 |
| Number: | 945003618 |
| Amount: | $316 |
