| Date of birth: | Jul 25, 1966 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 00105877 |
| Sid: | 15538507 |
| Booking location: | Jackson County, OR |
| Lodging date: | Jul 16, 2015 |
| Charge: | 0162.195 FP DUII ALCOHL/M / FAIL TO APPEAR 2ND DEG - 1~PV DUII A |
| Bond amount: | $20,000 |
| Arresting agency: | MFP |