| Hair: | Brown |
| Eyes: | Brown |
| Sid: | 10215504 |
| Lodged date: | Oct 30, 2012 |
| Docket number: | 111123 |
| Authority: | LINCOLN |
| Booking number: | 15796 |
| Release date: | Jan 11, 2013 |
| Booking location: | Lincoln County, OR |
| Statute: | 165055 |
| Release: | 01/11/2013 |
| Description: | FRAUD USE CRED CARD UNDER 200 |
| Charge: | FRD CRD AM |