| Date of birth: | Sep 28, 1993 |
| Bond amount: | $115,000 |
| SO#: | 21658604 |
| Arresting agency: | NPD |
| Arrest officer: | PURDOM/37569 |
| Booking number: | 20156507 |
| Booking date: | Nov 16, 2016 |
| Release date: | Nov 16, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |