| Date of birth: | 1949 |
| Hair: | Gray |
| Eyes: | Brown |
| Report: | 51121 |
| Offense: | BW FTA (THEFT OF ID,THEFT 2 #12P3162) |
| Arrest date: | May 2, 2012 |
| Booking number: | 2012050026 |
| Booking date: | May 3, 2012 |
| Booking officer: | DAL EASTLUND |
| Booking location: | Polk County, OR |
| Offense: | FAIL TO APPEAR-BENCH WARRANT #12P |
| Total fines: | $ 0.00 |
| Total bond: | $ 0.00 |
| Total bail: | $ 15,000.00 |
