| Hair: | Brown |
| Eyes: | Hazel |
| Sid: | 10804932 |
| Lodged date: | Dec 14, 2012 |
| Docket number: | 123918 |
| Bail amount: | $15,000 |
| Authority: | LINCOLN |
| Booking number: | 21124 |
| Booking location: | Lincoln County, OR |
| Statute: | 163160 |
| Description: | ASSAULT IV DOMESTIC VIOLENCE |
| Charge: | ASSA IV DV |
| Statute: | 166065 |
| Description: | HARASSMENT |
| Charge: | HARASS |