| Date of birth: | Oct 5, 1968 |
| Hair: | Brown |
| Eyes: | Blue |
| Risk level: | 2 |
| Designation: | Predicate Sex Offender |
| Corr lens: | YES |
| Booking number: | 141188 |
| Release date: | Oct 25, 2004 |
| Jail name: | Indiana Department of Corrections |
| Location: | 302 W Washington St, Indianapolis, IN 46204 |
| Booking location: | New York |
| Jail name: | Missouri Sexual Predator |
| Title: | OUT |
| Subsection: | 000000 |
| Section: | 000000000 |
| Description: | Non-NYS Felony Sex Offense |
| Class: | U |
| Category: | F |
| Offense description: | Sexual Intercourse |
| Charges: | N/A |
| Discharge date: | Nov 10, 2003 |
| Description: | FAILURE TO REGISTER AS A SEX OFFENDER |
| Conviction type: | FD |
| Court file number: | 5-2-12-9 |
| Case number: | 86C01-0206-FD-29 |
| County: | WARREN |
| Release date: | Oct 25, 2004 |
| Victim sex age: | Female , 14 Years |
| Arresting agency: | Illinois State Police -Sex Offender Registry |