| Date of birth: | Jan 6, 1962 |
| Hair: | Brown |
| Eyes: | Brown |
| Key: | 174002 |
| Cell: | 3B |
| Arresting agency: | SCSO |
| Arrest date: | Nov 19, 2012 |
| Booking number: | 2012-0010679 |
| Booking date: | Nov 19, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 3056PC |
| Description: | VIOLATION OF PAROLE: |