| Date of birth: | Jul 14, 1967 |
| Bond amount: | $30,000 |
| SO#: | 17536058 |
| Arresting agency: | LCPD |
| Arrest officer: | LIDEN |
| Booking number: | 20156078 |
| Booking date: | Oct 13, 2016 |
| Release date: | Oct 13, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |