| Date of birth: | Nov 2, 1968 |
| Hair: | Brown |
| Eyes: | Blue |
| Srn: | 011367S11 |
| Registration type: | Regular |
| Registration status: | Registered |
| Predator: | No |
| Minimum registration period: | 10 YEARS |
| Booked at: | WARREN |
| Address last verified: | 20120312 |
| Description: | TAT L ARM |
| Description: | SC R ARM CHUCKY DOLL |
| Booking date: | Sep 10, 2004 |
| Booking location: | Warren County, NC |
| Statute: | 14-208.7.A |
| Release date: | Feb 14, 2000 |
| Description: | REGISTERED AS A RESULT OF OUT-OF-STATE CONVICTION |
| County: | AMELIA |
| Conviction date: | Jan 28, 1999 |
| Confinement: | 12M |
