| Date of birth: | Sep 2, 1983 |
| Hair: | Blond |
| Eyes: | Blue |
| SO#: | 00127071 |
| Sid: | 19519125 |
| Booking location: | Jackson County, OR |
| Lodging date: | Dec 3, 2013 |
| Charge: | 0162.195 FP ASSAULT 4 / FAIL TO APPEAR 2ND DEG - 1~PV ASSAUL |
| Bond amount: | $4,000 |
| Arresting agency: | CPP |