| Date of birth: | Dec 27, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 11293 |
| Active: | Y |
| Booking number: | B1621957 |
| Booking date: | Aug 11, 2016 |
| Booking location: | Jefferson County, OR |
| Violation description: | WARRANT/JEFFERSON CO |
| Violation code: | 133.110 |
| Required cash amount: | $0 |
| Charge number: | 1 |
| Bond type: | CASH ONLY |
| Bond amount: | $0 |
| Arrest location: | 641 CENTER RIDGE DR |
| Arrest date: | Aug 11, 2016 |
| Agency case number: | 160721 |