| Date of birth: | Jun 4, 1956 |
| Hair: | Gray |
| Eyes: | Blue |
| Description: | SCAR(S) SC R WRIST - 'V' SHAPE |
| Description: | OTHER PHYSICAL CHARACTERISTICS R LEG - CRIPPLED |
| Description: | OTHER PHYSICAL CHARACTERISTICS R HAND - CRIPPLED |
| Description: | OTHER PHYSICAL CHARACTERISTICS R FOOT - CRIPPLED |
| Description: | OTHER PHYSICAL CHARACTERISTICS R ARM - CRIPPLED |
| Description: | ARTIFICIAL BODY PARTS ARTIFICAL LEFT LEG |
| Description: | TATTOO ON ARM, LEFT (ROSE) |
| Booking location: | Weber County, UT |