| Date of birth: | Oct 20, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Key: | 167761 |
| Cell: | BHC1 |
| Bail amount: | $1,000 |
| Arresting agency: | APD |
| Arrest date: | Sep 6, 2012 |
| Booking number: | 2012-0008325 |
| Booking date: | Sep 7, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 1203 3PC |
| Description: | REV OF PROBATION |