| Date of birth: | Oct 9, 1947 |
| Hair: | Brown |
| Eyes: | Brown |
| Description: | SCAR(S) SC ON L JAW |
| Description: | SCAR(S) SC L EAR |
| Description: | SCAR(S) SC ON L KNEE |
| Description: | SCAR(S) SC ON L WRIST |
| Description: | OTHER PHYSICAL CHARACTERISTICS MISSING TEETH |
| Booking location: | Weber County, UT |