| Date of birth: | May 18, 1949 |
| Ethnicity: | WHITE |
| Hair: | Gray/partial |
| Eyes: | Brown |
| Description: | HEAD, NONSPECIFIC SURGICAL |
| Description: | ELBOW, LEFT |
| Description: | KNEE, LEFT |
| Booking location: | Lassen County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |