| Date of birth: | Sep 30, 1961 |
| Hair: | Gray |
| Eyes: | Blue |
| SO#: | 00069363 |
| Sid: | 06530188 |
| Booking location: | Jackson County, OR |
| Lodging date: | Nov 1, 2013 |
| Charge: | 0166.025 DIS COND 2 / DISORDERLY CONDUCT 2ND DEG |
| Bond amount: | $3,000 |
| Arresting agency: | MFP |
| Lodging date: | Nov 1, 2013 |
| Charge: | 0162.315 RESIST ARR / RESISTING ARREST |
| Bond amount: | $3,000 |
| Arresting agency: | MFP |