| Date of birth: | 1959 |
| Ethnicity: | WHITE |
| Hair: | Brown |
| Eyes: | Hazel |
| Registration: | 1201259 |
| Level: | 2 |
| Arresting agency: | Las Vegas Metropolitan Police Department |
| Booking location: | Clark County, NV |
| Booking location: | San Bernardino County, CA |
| Offense code: | 290.005 |
| Description: | REQUIRED TO REGISTER BASED ON A NON-CALIFORNIA SEX OFFENSE |
| Description: | 201.220 - Indecent or obscene exposure |
| Charges: | N/A |