| Date of birth: | Dec 19, 1962 |
| Ethnicity: | WHITE |
| Hair: | Gray/partial |
| Eyes: | Green |
| Description: | GLASSES (PRESCRIPTION) EYE |
| Description: | ELBOW, RIGHT |
| Description: | SHOULDER, LEFT |
| Description: | HEAD, NONSPECIFIC |
| Booking location: | San Luis Obispo County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |