| Bond amount: | $2,500 |
| Arresting agency: | DAP |
| Arrest officer: | ROTH |
| Booking number: | 2004070092 |
| Booking date: | Jul 10, 2004 |
| Release date: | Jul 10, 2004 |
| Jail name: | Polk County Jail |
| Location: | 884 SE Jefferson St, Dallas, OR 97338 |
| Statute: | 181.599 |
| Description: | FAIL TO REGISTER/SEX OFFENDER |
| Bond amount: | $2,500 |