| Date of birth: | 1945 |
| Hair: | Gray |
| Eyes: | Hazel |
| Registration: | 16-11582 |
| Comments: | QUARTERLY REGISTRATION |
| Description: | Scar on R_Shoulder () |
| Description: | Scar on R_knee () |
| Description: | Scar on L_knee () |
| Description: | Scar on Head () |
| Description: | Scar on L_Foot () |
| Description: | Scar on Back () |
| Description: | Scar on R_hip () |
| Description: | Scar on L_wrist () |
| Description: | Scar on R_elbow () |
| Booking location: | El Paso County, CO |
