| Date of birth: | 1974 |
| Hair: | Brown |
| Eyes: | Brown |
| Report: | 50422 |
| Offense: | ASSLT II/IV 11P3463 |
| Arrest date: | Jun 5, 2012 |
| Booking number: | 2012060033 |
| Booking date: | Jun 5, 2012 |
| Booking officer: | P204 WHITTAKER, RANDY |
| Booking location: | Polk County, OR |
| Offense: | ASSAULT 2ND DEG 11P3463 |
| Total fines: | $ 0.00 |
| Total bond: | $ 0.00 |
| Total bail: | $ 0.00 |
