| Date of birth: | Aug 24, 1958 |
| Ethnicity: | WHITE |
| Hair: | Gray/partial |
| Eyes: | Green |
| Description: | FOREARM, LEFT |
| Description: | ARM, LEFT, NONSPECIFIC |
| Description: | ARM, RIGHT, NONSPECIFIC |
| Booking location: | San Bernardino County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |