| Date of birth: | 1981 |
| Hair: | Brown |
| Eyes: | Green |
| Registration: | 70421 |
| Level: | Offender |
| Arresting agency: | Polk County Sheriff's Office |
| Booking location: | Florida |
| Description: | 943.0435(4)(b) - Failure to properly register as a Sexual Offender |
| Charges: | N/A |
| Description: | 9999 - OTHER CRIME |
| Charges: | N/A |