| Date of birth: | 1947 |
| Hair: | Bald |
| Registration: | 1803000 |
| Level: | Level III |
| Comments: | " Probation Conditions |
| Description: | Scar on Chest (16') |
| Description: | Tattoo on R_Shoulder (ROSE) |
| Description: | Tattoo on R_Shoulder ("JACK") |
| Booking location: | Lewis County, WA |