| Date of birth: | 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Work address: | NOT EMPLOYED |
| Violent: | Yes |
| Registration renewed date: | Apr 16, 2012 |
| Registration id: | 23412 |
| Palm print: | On File |
| Initial registration date: | Feb 18, 2008 |
| Home address: | 127 HILLSIDE DRIVE, LOT 10, STOYSTOWN, PA 15563 |
| Finger print: | On File |
| Booked at: | OUT OF STATE |
| Booking location: | Pennsylvania |
