| Date of birth: | Jun 11, 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Srn: | 014377S11 |
| Registration type: | Regular |
| Registration status: | Registered |
| Predator: | No |
| Minimum registration period: | 10 YEARS |
| Booked at: | FORSYTH |
| Address last verified: | 20120614 |
| Booking date: | Dec 14, 2006 |
| Booking location: | Forsyth County, NC |
| Statute: | 14-208.7.A |
| Release date: | Dec 12, 2006 |
| Description: | REGISTERED AS A RESULT OF OUT-OF-STATE CONVICTION |
| County: | BLUEFIELD |
| Conviction date: | Oct 12, 2004 |
| Confinement: | 1-5Y |