| Date of birth: | Sep 15, 1983 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 109461 |
| Sid: | 16124456 |
| Booking location: | Jackson County, OR |
| Release date: | May 2, 2012 |
| Lodging date: | Apr 23, 2012 |
| Charge: | 0163.160 ASSAULT 4 / ASSAULT 4TH DEG - 1 |
| Bond amount: | $0 |
| Arresting agency: | MFC |