| Date of birth: | Jul 13, 1960 |
| Ethnicity: | WHITE |
| Hair: | White |
| Eyes: | Green |
| Description: | FOREARM, RIGHT |
| Description: | FOREARM, LEFT "AL" |
| Booking location: | San Luis Obispo County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |