| Date of birth: | Feb 14, 1968 |
| Bond amount: | $5,000 |
| SO#: | 1598806 |
| Arresting agency: | OSP |
| Arrest officer: | SEVERSON |
| Booking number: | 20156181 |
| Booking date: | Oct 22, 2016 |
| Release date: | Oct 22, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |