| Date of birth: | Oct 5, 1983 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 102382 |
| Sid: | 14981961 |
| Booking location: | Jackson County, OR |
| Release date: | Jun 27, 2012 |
| Lodging date: | Jun 19, 2012 |
| Charge: | CUSTODY VIOLATOR / CUSTODY VIOLATOR-PCS/MJ |
| Bond amount: | $0 |
| Arresting agency: | MFS |