| Date of birth: | May 22, 1943 |
| Bond amount: | $30,000 |
| SO#: | 16254362 |
| Arresting agency: | NPD |
| Arrest officer: | PURDOM |
| Booking number: | 20150670 |
| Booking date: | Apr 17, 2015 |
| Release date: | Apr 17, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |