| Date of birth: | Apr 1, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Sid: | 11325029 |
| Sheriff office number: | 00082786 |
| Booking location: | Jackson County, OR |
| Lodging date: | Oct 4, 2011 |
| Charge: | 0133.747 FUGITIVE/CA / FUGITIVE FROM OTHER STATE-1 |
| Bond amount: | Y |
| Arresting agency: | MFP |