| Date of birth: | Jan 7, 1962 |
| Hair: | Gray |
| Eyes: | Blue |
| Description: | TATTOO ON BACK TAT BACK (SCORPIN) |
| Description: | TATTOO ON SHOULDER, RIGHT TAT R SHLD (CAPRICORN) |
| Description: | TATTOO ON ARM, LEFT TAT L ARM (LADY, BEAR) |
| Description: | SKIN DISCOLORATIONS BACK BIRTH MARK |
| Description: | SCAR ON FACE, NONSPECIFIC RT SIDE OF FACE |
| Booking location: | Weber County, UT |