| Bond amount: | $25,000 |
| Arresting agency: | DAP |
| Arrest officer: | SHIELDS |
| Booking number: | 2004100111 |
| Booking date: | Oct 15, 2004 |
| Release date: | Oct 21, 2004 |
| Jail name: | Polk County Jail |
| Location: | 884 SE Jefferson St, Dallas, OR 97338 |
| Statute: | 165.8 |
| Description: | THEFT OF IDENTITY 04P3409 CNT 1 |
| Bond amount: | $0 |
| Docket number: | 04P3409 |
| Statute: | 165.007 |
| Description: | FORGERY 2ND DEG CNT 2 04P3409 |
| Bond amount: | $0 |
| Docket number: | 04P3409 |
| Statute: | 164.045 |
| Description: | THEFT 2ND DEG 04P3409 CNT 3 |
| Bond amount: | $25,000 |
| Docket number: | 04P3409 |
