| Hair: | Brown |
| Eyes: | Brown |
| Sid: | 04752808 |
| Lodged date: | Sep 19, 2013 |
| Docket number: | 1001094 |
| Authority: | LANE |
| Booking number: | 00396 |
| Booking location: | Lincoln County, OR |
| Statute: | 165017 |
| Description: | POSS FORGED INSTRUMENT II |
| Charge: | FORG IN II |
| Statute: | Next Court: |
| Charge: | Authority: LANE |
| Statute: | Statute |
| Release: | Release |
| Description: | Description |
| Charge: | Charge |
| Statute: | 162205 |
| Description: | FAIL TO APPEAR I |
| Charge: | FAIL AP I |