| Date of birth: | Sep 30, 1961 |
| Hair: | Gray |
| Eyes: | Blue |
| Inmate number: | 54779 |
| Active: | N |
| Booking number: | B12015975 |
| Booking date: | Nov 28, 2012 |
| Release date: | Nov 28, 2012 |
| Booking location: | Josephine County, OR |
| Violation level: | M |
| Violation description: | ASSAULT 4TH DEG |
| Violation code: | 163.160 |
| Required cash amount: | $0 |
| Court case: | 121137M |
| Clear type: | M&P |
| Charge number: | 1 |
| Bond type: | NIC |
| Bond amount: | $0 |
| Arrest date: | Sep 19, 2012 |
| Agency case number: | 12-271155 |