| Date of birth: | Mar 1, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Key: | 212082 |
| Cell: | 3B |
| Arresting agency: | RPD |
| Arrest date: | Sep 18, 2012 |
| Booking number: | 2012-0008698 |
| Booking date: | Sep 18, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 3056PC |
| Description: | VIOLATION OF PAROLE: |