| Date of birth: | Mar 20, 1928 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| Tier level: | TIER 2 |
| Sor: | 8568969 |
| Last verification date: | Jul 1, 2013 |
| Expiration date: | Apr 22, 2018 |
| Booking date: | Dec 20, 1995 |
| Booking location: | Alcona County, MI |
| State: | MI |
| Offense: | 750.520C1H |
| Description: | Criminal Sexual Conduct-2nd Deg.(Mentally Disabled Relation) |
| Court name: | 34th Circuit |
| Conviction date: | Apr 22, 1993 |
| Charges: | N/A |