| Hair: | Black |
| Eyes: | Brown |
| Sid: | 07594671 |
| Lodged date: | Dec 5, 2012 |
| Docket number: | 120126 |
| Authority: | LINCOLN |
| Booking number: | 33157 |
| Release date: | Dec 19, 2012 |
| Booking location: | Lincoln County, OR |
| Statute: | 811182 |
| Release: | 12/19/2012 |
| Description: | DRIVE SUSPENDED/REVOKED MISD |
| Charge: | DRIV S/R M |