| Date of birth: | Dec 27, 1964 |
| Bond amount: | $7,500 |
| SO#: | 21507896 |
| Arresting agency: | LCSO |
| Arrest officer: | SHANKS |
| Booking number: | 20153178 |
| Booking date: | Jan 7, 2016 |
| Release date: | Jan 7, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |