| Date of birth: | Apr 18, 1964 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Brown |
| Description: | ARM, LEFT, NONSPECIFIC |
| Description: | LEG, LOWER RIGHT |
| Booking location: | San Bernardino County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |