| Date of birth: | Dec 17, 1933 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Brown |
| Description: | EYEBROW, EYE AREA, NONSPECIFIC |
| Description: | CHEST BURN |
| Booking location: | Shasta County, CA |
| Offense code: | 290(a)(2)( |
| Description: | PRIOR CODE - REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |