| Date of birth: | Mar 26, 1963 |
| Hair: | Black |
| Eyes: | Brown |
| Inmate number: | 200829 |
| Active: | N |
| Booking number: | B12014513 |
| Booking date: | May 30, 2012 |
| Release date: | May 30, 2012 |
| Booking location: | Josephine County, OR |
| Violation level: | M |
| Violation description: | ASSAULT 4TH DEG; DOMESTIC |
| Violation code: | 163.160 |
| Required cash amount: | $0 |
| Clear type: | BAR |
| Charge number: | 1 |
| Bond amount: | $7,500 |
| Arrest location: | 975 NE DEWEY |
| Arrest date: | May 29, 2012 |
| Agency case number: | 12-3620 |