| Date of birth: | Dec 27, 1975 |
| Bond amount: | $15,000 |
| SO#: | 13421843 |
| Arresting agency: | LCSO |
| Arrest officer: | CHAPMAN |
| Booking number: | 20157026 |
| Booking date: | Dec 22, 2016 |
| Release date: | Dec 22, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |