| Date of birth: | Apr 14, 1953 |
| Hair: | Gray |
| Eyes: | Green |
| Description: | SCAR ON CALF, NONSPECIFIC KNEE TO ANKLE |
| Description: | OTHER PHYSICAL CHARACTERISTICS |
| Description: | SCAR ON BACK SC L BACK LENGTH OF BACK |
| Description: | SCAR ON CHEST SC L COLLARBONE 2" |
| Booking location: | Weber County, UT |