| Date of birth: | Mar 24, 1953 |
| Bond amount: | $22,500 |
| SO#: | 21819046 |
| Arresting agency: | LCSO |
| Arrest officer: | 55140 |
| Booking number: | 20156116 |
| Booking date: | Oct 17, 2016 |
| Release date: | Oct 17, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |