| Date of birth: | 1963 |
| Hair: | Brown |
| Registration: | 1331006 |
| Level: | Level 3 |
| Description: | Tattoo on Chest (BEAR / EAGLE) |
| Description: | Tattoo on R_bicep (WOLF / VORTEX / FLOWERS / FIREBIRD) |
| Description: | Tattoo on L_bicep (FLOWERS / TIGER / RAM) |
| Description: | Tattoo on L_Hand (CROSS) |
| Booking location: | Maricopa County, AZ |