| Date of birth: | Mar 24, 1954 |
| Ethnicity: | WHITE |
| Hair: | Gray/partial |
| Eyes: | Brown |
| Description: | ARM, LEFT, NONSPECIFIC |
| Description: | HAND, LEFT |
| Description: | FACE, NONSPECIFIC |
| Description: | BACK |
| Booking location: | Shasta County, CA |
| Offense code: | 290(a)(2)( |
| Description: | PRIOR CODE - REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |