| Date of birth: | May 31, 1955 |
| Hair: | Brown |
| Eyes: | Brown |
| Description: | TATTOO(S) INDIAN/LEFT ARM |
| Description: | TATTOO(S) NECK/LEFT SIDE/SKULL/LATIN KING |
| Description: | DEFORMITIES right arm amputated below elbow |
| Description: | TATTOO(S) TAT L WRIST (CHAIN) |
| Description: | TATTOO(S) TAT NECK (HAND) |
| Booking location: | Weber County, UT |