| Date of birth: | 1943 |
| Court code: | SUP |
| Arresting agency: | Raymond Police |
| Arrest date: | Jul 15, 2013 |
| Arrest officer: | Jarvis S |
| Arrest type: | Probable Cause Arrest |
| Booking location: | Pacific County, WA |
| Offense description: | ASSAULT 1 |
| Offense date: | Jul 15, 2013 |
| Gen offense code: | 13-1-00119-3 |
| Bond type: | Cash or Surety |
| Bond amount: | $50,000 |
