| Date of birth: | 1971 |
| Hair: | Brown |
| Eyes: | Blue |
| Registration: | 577846 |
| Level: | Level II |
| Arresting agency: | Cowlitz County Sheriff's Office |
| Booking location: | Cowlitz County, WA |
| Description: | 9A.36.031 - Assault in the third degree., |
| Date convicted: | Apr 14, 2004 |
| Charges: | N/A |