| Date of birth: | 1955 |
| Hair: | Brown |
| Eyes: | Hazel |
| Registration: | 03-11948 |
| Comments: | QUARTERLY REGISTRATION |
| Arresting agency: | El Paso Sheriff's Office |
| Booking location: | El Paso County, CO |
| Booking number: | 03-11948 |
| Jail name: | Illinois State Police |
| Location: | 9511 Harrison St, Des Plaines, IL 60016 |