| Date of birth: | 1960 |
| Hair: | Blond |
| Eyes: | Blue |
| Residence verification date: | Jul 3, 2012 |
| Predator: | NO |
| Incarcerated: | NO |
| Crime: | SIMPLE BATT COURT ORDER TO REGISTER |
| Conviction state: | GA |
| Conviction date: | Sep 28, 2007 |
| Absconder: | NO |
| Booking date: | Oct 16, 2007 |
| Booking location: | Forsyth County, GA |