| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Hazel |
| Registration: | 643466 |
| Level: | 2 |
| Comments: | W5 |
| Description: | Tattoo on Back (GRIM REAPER) |
| Description: | Tattoo on L_arm (ROADRUNNER) |
| Description: | Tattoo on R_arm (SKULL) |
| Arresting agency: | Las Vegas Metropolitan Police Department |
| Booking location: | Clark County, NV |