| Date of birth: | Oct 12, 1957 |
| Ethnicity: | WHITE |
| Hair: | White |
| Eyes: | Green |
| Description: | ABDOMEN |
| Description: | ELBOW, NONSPECIFIC |
| Booking location: | Los Angeles County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |