| Date of birth: | Oct 8, 1951 |
| Hair: | Brown |
| Eyes: | Green |
| Scars marks tattos: | Records TATTOO ON FOREARM, RIGHT TAT R FOREARM (MUSHROOMS) SCAR ON NECK R NECK 4" LONG |
| Description: | TATTOO(S) TAT R FOREARM (MUSHROOMS) |
| Description: | SCAR(S) R NECK 4" LONG |
| Booking location: | Weber County, UT |