| Date of birth: | Feb 15, 1942 |
| Ethnicity: | WHITE |
| Hair: | Gray/partial |
| Eyes: | Blue |
| Description: | LEG, RIGHT, NONSPECIFIC |
| Booking location: | Shasta County, CA |
| Offense code: | 290(a)(2)( |
| Description: | PRIOR CODE - REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |