| Date of birth: | Nov 6, 1952 |
| Hair: | Brown |
| Eyes: | Blue |
| Key: | 89941 |
| Inmate location: | MMED |
| Arresting agency: | SCMAR |
| Arrest date: | Dec 6, 2011 |
| Booking number: | 2011-0010471 |
| Booking date: | Dec 6, 2011 |
| Booking location: | Shasta County, CA |
| Violation code: | 1203 3PC |
| Description: | REV OF PROBATION |