| Date of birth: | May 28, 1979 |
| Bond amount: | $15,000 |
| SO#: | OR21193994 |
| Arresting agency: | LCPD |
| Arrest officer: | TOLZMAN/ 55565 |
| Booking number: | 20156303 |
| Booking date: | Nov 1, 2016 |
| Release date: | Nov 1, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |