| Date of birth: | Jun 21, 1974 |
| Ethnicity: | WHITE |
| Hair: | Blond/strawb |
| Eyes: | Green |
| Description: | LEG, LEFT NONSPECIFIC WORD |
| Description: | LEG, LEFT NONSPECIFIC OTHER |
| Description: | BACK WORD |
| Description: | BACK OTHER |
| Booking location: | San Bernardino County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |