| Date of birth: | Oct 7, 1947 |
| Hair: | Brown |
| Eyes: | Green |
| Srn: | 008399S2 |
| Registration type: | Regular |
| Registration status: | Registered |
| Predator: | No |
| Minimum registration period: | 10 YEARS |
| Booked at: | FORSYTH |
| Address last verified: | 20120816 |
| Booking date: | Aug 20, 2002 |
| Booking location: | Forsyth County, NC |
| Statute: | 14-208.7.A |
| Probation: | 5Y |
| Description: | REGISTERED AS A RESULT OF OUT-OF-STATE CONVICTION |
| County: | WOOD |
| Conviction date: | Jan 17, 1996 |
