| Date of birth: | Apr 27, 1960 |
| Hair: | Brown |
| Eyes: | Green |
| Key: | 509739 |
| Cell: | MMED |
| Bail amount: | $50,000 |
| Arresting agency: | SCSO |
| Arrest date: | Oct 16, 2012 |
| Booking number: | 2012-0009634 |
| Booking date: | Oct 16, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 273 5(A)PC |
| Description: | CORPORAL INJURY OF S |