| Date of birth: | Dec 13, 1950 |
| Hair: | Brown |
| Eyes: | Brown |
| Key: | 477750 |
| Cell: | 1D |
| Arresting agency: | PROB |
| Arrest date: | Jul 16, 2012 |
| Booking number: | 2012-0006477 |
| Booking date: | Jul 16, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 11377(A)HS |
| Description: | POSS CONTROLLED SUBS |
| Violation code: | 1203 3PC |
| Description: | REV OF PROBATION |