| Date of birth: | Oct 15, 1967 |
| Hair: | Brown |
| Eyes: | Brown |
| Cell: | 1C |
| Arresting agency: | SCMAR |
| Arrest date: | Sep 21, 2012 |
| Booking number: | 2012-0008789 |
| Booking date: | Sep 21, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 1203 3PC |
| Description: | REV OF PROBATION |