| Date of birth: | Mar 17, 1977 |
| Bond amount: | $25,000 |
| SO#: | 11775517 |
| Arresting agency: | NPD |
| Arrest officer: | PURDOM |
| Booking number: | 20151095 |
| Booking date: | Jun 7, 2015 |
| Release date: | Jun 7, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |