| Date of birth: | Dec 5, 1967 |
| Hair: | Brown |
| Eyes: | Green |
| Srn: | 009654S1 |
| Registration type: | Regular |
| Registration status: | Registered |
| Predator: | No |
| Minimum registration period: | 10 YEARS |
| Booked at: | MADISON |
| Address last verified: | 20120917 |
| Booking date: | Sep 15, 2003 |
| Booking location: | Madison County, NC |
| Statute: | 14-208.7.A |
| Probation: | 2Y |
| Description: | REGISTERED AS A RESULT OF OUT-OF-STATE CONVICTION |
| County: | BUCKINGHAM |
| Conviction date: | Sep 9, 2003 |