| Date of birth: | Dec 21, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Incident number: | 16CR52696 |
| File number: | 10672 |
| Book date: | Oct 4, 2016 |
| Bail amount: | $13,500 |
| Arrest case number: | 16CR52696 |
| Bond amount: | $25,000 |
| SO#: | 21885585 |
| Arresting agency: | Lincoln SO |
| Arrest date: | Oct 4, 2016 |
| Booking number: | 1600001710 |
| Booking location: | Benton County, OR |
| Arresting agency: | NPD |
| Arrest officer: | CLARK |
| Booking number: | 20155918 |
| Booking date: | Oct 1, 2016 |
| Release date: | Oct 4, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |
| Warrant type: | FTA |
| Offense: | MENACING |
| Disposition: | SENT SERV |
| Warrant type: | FTA |
| Offense: | CRIM TRESPASS II |
| Disposition: | DISMISS |
| Warrant type: | FTA |
| Offense: | INTERF W/PEACE OFFICER |
| Disposition: | SENT SERV |