| Date of birth: | Dec 10, 1943 |
| Hair: | Partial gray |
| Eyes: | Blue |
| Mdoc: | 824608 |
| Inmate status: | Probationer |
| Description: | Scar- Left Forearm Deformity - Scars from |
| Description: | compound fracture |
| Description: | Scar- Stomach - Gall bladder removed - surgical |
| Description: | scar |
| Booking location: | Michigan |