| Date of birth: | Aug 27, 1971 |
| Bond amount: | $10,000 |
| SO#: | 21312962 |
| Arresting agency: | LCPD |
| Arrest officer: | JOHNSON |
| Booking number: | 20151920 |
| Booking date: | Aug 29, 2015 |
| Release date: | Aug 31, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |