| Date of birth: | Sep 25, 1967 |
| Hair: | Blond |
| Eyes: | Brown |
| SO#: | 00130900 |
| Sid: | 13857003 |
| Booking location: | Jackson County, OR |
| Release date: | Nov 25, 2014 |
| Lodging date: | Nov 17, 2014 |
| Charge: | 0163.160 ASSAULT 4 / ASSAULT 4TH DEG - 1 |
| Bond amount: | $0 |
| Arresting agency: | MFS |