| Date of birth: | Oct 1, 1986 |
| Hair: | Blond |
| Eyes: | Blue |
| Key: | 501796 |
| Cell: | 2D |
| Arresting agency: | RPD |
| Arrest date: | Nov 4, 2012 |
| Booking number: | 2012-0010227 |
| Booking date: | Nov 4, 2012 |
| Booking location: | Shasta County, CA |
| Violation code: | 273 5(A)PC |
| Description: | CORPORAL INJURY OF S |
| Violation code: | 1203 2PC |
| Description: | VIOL OF PROB |