| Date of birth: | May 15, 1965 |
| Bond amount: | $30,000 |
| SO#: | 14726657 |
| Arresting agency: | TPD |
| Arrest officer: | PITCHER |
| Booking number: | 20142235 |
| Booking date: | Sep 27, 2014 |
| Release date: | Sep 28, 2014 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |