| Date of birth: | Jan 23, 1970 |
| Ethnicity: | WHITE |
| Hair: | Black |
| Eyes: | Blue |
| Description: | SHOULDER, RIGHT OTHER |
| Description: | ARM, LEFT, NONSPECIFIC WORD |
| Description: | CALF, NONSPECIFIC OTHER |
| Description: | BACK |
| Description: | ARM, NONSPECIFIC UNKNOWN |
| Description: | SHOULDER, NONSPECIFIC UNKNOWN |
| Booking location: | California |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |