| Date of birth: | 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| Registration: | 1611118 |
| Lifetime registration: | Yes |
| Level: | Awaiting Classification |
| Inmate status: | Active |
| Inmate number: | 1611118 |
| Booking date: | May 23, 2012 |
| Arresting agency: | Lake County IN Sheriff's Office |
| Booking location: | Lake County, IN |
| Arresting agency: | Indiana Sex and Violent Offender Registry |
| Booking date: | May 23, 2012 |
| Booking location: | Indiana |