| Date of birth: | Jun 3, 1983 |
| Hair: | Brown |
| Eyes: | Green |
| Sid: | 15369153 |
| Sheriff office number: | 00104832 |
| Booking location: | Jackson County, OR |
| Lodging date: | Mar 14, 2012 |
| Charge: | CUSTODY VIOLATOR / CUSTODY VIOLATOR-PV DWS/M |
| Bond amount: | $0 |
| Arresting agency: | MFS |