| Date of birth: | Dec 30, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| SO#: | 00107046 |
| Sid: | 10271844 |
| Booking location: | Jackson County, OR |
| Release date: | Dec 4, 2015 |
| Lodging date: | Oct 22, 2015 |
| Charge: | 0144.350 CUST/VIOL PARV / PAROLE VIOLATION~CUSTODY VIOLATOR |
| Bond amount: | $0 |
| Arresting agency: | MFS |