| Date of birth: | Jan 3, 1942 |
| Hair: | Gray |
| Eyes: | Blue |
| Description: | TATTOO(S) TAT R SHLD (HARLEY DAVIDSON) |
| Description: | MISSING BODY PARTS AND ORGANS L HAND MISSING 2 FINGERS |
| Description: | OTHER PHYSICAL CHARACTERISTICS PIERCED EARS |
| Booking location: | Weber County, UT |