| Date of birth: | May 3, 1964 |
| Hair: | Blond |
| Eyes: | Blue |
| Key: | 489186 |
| Cell: | 2B |
| Arresting agency: | SCSO |
| Arrest date: | Oct 4, 2012 |
| Booking number: | 2012-0009255 |
| Booking date: | Oct 4, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 148(A)(1)PC |
| Description: | OBSTRUCT/ETC PUB OFC |
| Violation code: | 148 9(A)PC |
| Description: | FALSE ID TO PEACE OF |
| Violation code: | 3455(a)(4)PC |
| Description: | PRCS VIOLATION |