| Date of birth: | Mar 3, 1944 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Blue |
| Description: | SHOULDER, LEFT |
| Description: | ARM, RIGHT, NONSPECIFIC |
| Description: | SHOULDER, LEFT SURGICAL |
| Description: | BACK SURGICAL |
| Booking location: | Placer County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |