| Date of birth: | Feb 22, 1942 |
| Hair: | Bld |
| Eyes: | Hazel |
| Description: | TATTOO ON ARM, RIGHT UPPER "SIMPER FIDLEIS USMC" |
| Description: | TATTOO ON ARM, RIGHT UPPER (MARINE CORP LOGO) |
| Description: | TATTOO ON ARM, LEFT UPPER (FEMALE) |
| Description: | SCAR ON CHEST |
| Description: | SCAR ON BACK |
| Booking location: | Weber County, UT |