| Date of birth: | Feb 22, 1955 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Brown |
| Description: | BACK |
| Description: | ARM, RIGHT, NONSPECIFIC |
| Description: | CHEST |
| Description: | ARM, LEFT, NONSPECIFIC |
| Booking location: | Mendocino County, CA |
| Booking number: | 886794 |
| Jail name: | Indiana Sheriffs Association |
| Location: | 147 Maryland St, Indianapolis, IN 46204 |
| Offense code: | 290(a)(2)( |
| Description: | PRIOR CODE - REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |