| Date of birth: | 1943 |
| Hair: | No selection |
| Eyes: | Hazel |
| Status: | Active |
| Registration: | 2133687 |
| Level: | High (Level 3) |
| Booking location: | Montgomery County, TX |
| Description: | 00000000 - CODE FOR BOARD ORDERED OFFENDERS |
| Date convicted: | Aug 7, 1962 |
| Conviction state: | Texas |
| Charges: | N/A |