| Date of birth: | Dec 5, 1923 |
| Ethnicity: | WHITE |
| Hair: | Gray/partial |
| Eyes: | Blue |
| Registration: | 10493944 |
| Booking location: | Shasta County, CA |
| Arresting agency: | Shasta County Sheriff's Office |
| Booking location: | Shasta County, CA |
| Offense code: | 290(a)(2)( |
| Description: | PRIOR CODE - REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |
| Details: | CrimeCode: 99.99 CrimeDesc: OUT OF STATE CONVICTION/CRIME |
| Description: | 9999 - OTHER CRIME |
| Charges: | N/A |