| Date of birth: | Aug 30, 1952 |
| Hair: | Blo |
| Eyes: | Blue |
| Arresting agency: | NCS |
| Arrest date: | Jun 25, 2013 |
| Booking number: | 20130000001816 |
| Booking location: | Nassau County, NY |
| Statute: | 943.0435 |
| Description: | S.O. FAILURE TO REGISTER WITH DEPARTMENT |
| Counts: | 1 |
| Bond amount: | $0 |