| Date of birth: | 1944 |
| Ethnicity: | Non-Hispanic |
| Hair: | Gray |
| Eyes: | Brown |
| Level 3: | No |
| Description: | Scar Forehead |
| Description: | Scar Eyebrow, left/left eye area |
| Description: | Scar Cheek (face), left |
| Description: | Scar Chest |
| Description: | Scar Face, nonspecific |
| Description: | Discoloration Foot, right |
| Description: | Scar Back |
| Booking location: | Minnesota |