| Date of birth: | 1958 |
| Hair: | Gray |
| Eyes: | Hazel |
| Work addresses: | 1960 N COUNTRY CLUB RD MESA, AZ 85201 |
| Registration: | 1292118 |
| Level: | Level 2 |
| Description: | Scar on L_eyebrow () |
| Arresting agency: | Mesa Police Department |
| Booking location: | Maricopa County, AZ |
| Description: | 9999 - OTHER CRIME |
| Charges: | N/A |
| Description: | 13-3824 - Violation of Sex Offender Registration (Failure to Register) |
| Charges: | N/A |