| Date of birth: | Mar 3, 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Key: | 466458 |
| Inmate location: | 3B |
| Arresting agency: | SCMAR |
| Arrest date: | Mar 9, 2012 |
| Booking number: | 2012-0002091 |
| Booking date: | Mar 9, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 273 5(A)PC |
| Description: | CORPORAL INJURY OF S |