| Date of birth: | Sep 11, 1984 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Brown |
| Bond amount: | $0 |
| SO#: | 17610069 |
| Booking number: | 34134 |
| Booking date: | Jan 1, 1999 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |
| Booking location: | Del Norte County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |