| Date of birth: | Nov 23, 1961 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 00090421 |
| Sid: | 12137312 |
| Booking location: | Jackson County, OR |
| Lodging date: | Nov 28, 2014 |
| Charge: | 0162.385 FALSE/INFO/CRIM / FALSE INFO-POLICE OFC-CRIM OFF |
| Bond amount: | $0 |
| Arresting agency: | TAP |
| Lodging date: | Nov 28, 2014 |
| Charge: | 0162.195 THEFT 2 / FAIL TO APPEAR 2ND DEG - 1~THEFT II |
| Bond amount: | $4,000 |
| Arresting agency: | TAP |