| Date of birth: | Apr 12, 1984 |
| Bond amount: | $50,000 |
| SO#: | 17533116 |
| Arresting agency: | LCSO |
| Arrest officer: | VERTNER |
| Booking number: | 20155783 |
| Booking date: | Sep 20, 2016 |
| Release date: | Sep 21, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |