| Date of birth: | Nov 11, 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Description: | OTHER PHYSICAL CHARACTERISTICS MISSING ALL TEETH |
| Description: | SCAR(S) SC L WRIST |
| Description: | SCAR(S) SC BRIDGE OF NOSE |
| Description: | SCAR(S) SC R CALF - 6" SURGICAL |
| Booking location: | Weber County, UT |