| Date of birth: | 1961 |
| Hair: | Brown |
| Eyes: | Hazel |
| Offense: | ASSLT IV (DOMESTIC) |
| File number: | 20508 |
| Arrest date: | Sep 6, 2012 |
| Arrest officer: | DAP MOLLAHAN |
| Booking number: | 2012090057 |
| Booking date: | Sep 6, 2012 |
| Booking location: | Polk County, OR |
| Offense: | ASSAULT 4TH DEG - 1 (DOMESTIC) |
| Total fines: | $ 0.00 |
| Total bond: | $ 0.00 |
| Total bail: | $ 7,500.00 |