| Date of birth: | May 24, 1951 |
| Ethnicity: | WHITE |
| Hair: | Blond/strawb |
| Eyes: | Green |
| Registration: | 1656437 |
| Description: | WRIST, LEFT |
| Description: | ABDOMEN |
| Booking location: | Siskiyou County, CA |
| Offense code: | 290(a)(2)( |
| Description: | PRIOR CODE - REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |