| Date of birth: | May 21, 1960 |
| Hair: | Gray |
| Eyes: | Brown |
| Inmate number: | 13680 |
| Active: | Y |
| Booking number: | B1621602 |
| Booking date: | Jun 17, 2016 |
| Booking location: | Jefferson County, OR |
| Violation description: | WARRANT/JEFFERSON CO |
| Violation code: | 133.110 |
| Required cash amount: | $1,000 |
| Obts number: | JJEF116016966 |
| Court case: | 16CR08320 |
| Charge number: | 1 |
| Bond amount: | $10,000 |
| Arrest location: | 159 SW BARD LN |
| Arrest date: | Jun 17, 2016 |
| Agency case number: | 160536 |