| Date of birth: | Apr 1, 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Risk level: | 3 |
| Designation: | Lifetime Registration-Subject to Petition for Relief |
| Booking location: | Washington County, NY |
| Title: | OUT |
| Subsection: | 000000 |
| Section: | 000000000 |
| Description: | Non-NYS Felony Sex Offense |
| Class: | U |
| Category: | F |
| Offense description: | Sexual Intercourse |
| Charges: | N/A |
| Victim sex age: | Female , Unknown |
| Arresting agency: | US Army Provost Marshall - Washington, DC |