| Date of birth: | Nov 14, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Description: | TATTOO ON FOREARM, LEFT (STATE) |
| Description: | OTHER PHYSICAL CHARACTERISTICS MISSING TEETH - UPPER FRONT |
| Description: | TATTOO ON CHEST TAT L CHEST 'LACHANCE' |
| Description: | SCAR(S) SC TOP OF NOSE |
| Description: | TATTOO ON CHEST TAT R CHEST (SKULL W/ FEDORA) |
| Description: | SCAR(S) SC BEHIND R EAR |
| Booking location: | Weber County, UT |