| Date of birth: | Sep 30, 1957 |
| Hair: | Gray |
| Eyes: | Brown |
| Key: | 135202 |
| Cell: | 3A |
| Arresting agency: | SCSO |
| Arrest date: | Aug 19, 2012 |
| Booking number: | 2012-0007710 |
| Booking date: | Aug 19, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 3056PC |
| Description: | VIOLATION OF PAROLE: |