| Bond amount: | $5,000 |
| Arresting agency: | OTH |
| Arrest officer: | KEIZER PD |
| Booking number: | 2013060214 |
| Booking date: | Jun 27, 2013 |
| Release date: | Jul 5, 2013 |
| Jail name: | Polk County Jail |
| Location: | 884 SE Jefferson St, Dallas, OR 97338 |
| Statute: | 806.055 |
| Description: | FALSE INFO ABOUT LIABIL INSUR / MC1 10M0306 |
| Bond amount: | $5,000 |
| Docket number: | 10M0306 |