| Date of birth: | Dec 1, 1934 |
| Hair: | Brown |
| Eyes: | Hazel |
| Sid: | 07568768 |
| Sheriff office number: | 00116218 |
| Booking location: | Jackson County, OR |
| Lodging date: | Feb 7, 2012 |
| Charge: | 0162.195 FP DUII DRUGS/M / FAIL TO APPEAR 2ND DEG - 1~PV DUII D |
| Bond amount: | $4,000 |
| Arresting agency: | MFS |