| Date of birth: | 1956 |
| Ethnicity: | Non-Hispanic |
| Hair: | Black |
| Eyes: | Blue |
| Level 3: | No |
| Description: | Scar Arm, left |
| Description: | Scar Wrist, left |
| Description: | Bald/balding |
| Description: | Scar Finger(s), left hand |
| Description: | Scar Hand, left |
| Description: | Freckles |
| Description: | Scar Arm, left upper |
| Description: | Mole Arm, left |
| Description: | Mole Arm, right |
| Description: | Scar Back |
| Description: | Mole Nose |
| Booking location: | Minnesota |
| Description: | 9/16/2015 |
| Description: | NonCompliant |
| Description: | Verification Not Returned |