| Date of birth: | 1942 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 0442201 |
| SO#: | 208377 |
| Booked at: | SALT LAKE |
| Cob: | Alabama |
| Booking number: | 9601592 |
| Booking date: | Jan 20, 1996 |
| Release date: | Jan 21, 1996 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 951001921 |
| Amount: | $570 |
| Number: | 961000077 |
| Amount: | $500 |
