| Date of birth: | Mar 27, 1978 |
| Bond amount: | $15,000 |
| SO#: | 21096668 |
| Arresting agency: | LCSO |
| Arrest officer: | LARSON/ 52129 |
| Booking number: | 20150476 |
| Booking date: | Mar 28, 2015 |
| Release date: | Mar 28, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |