| Date of birth: | 1959 |
| Hair: | Brown |
| Eyes: | Brown |
| Sid: | 04721819 |
| Lodged date: | May 1, 2013 |
| Docket number: | 104639 |
| Authority: | SUPERVISORY |
| Offense: | NPL WARRANT 104639 (PROB VIO ASLT) |
| File number: | 23129 |
| Arrest date: | Feb 3, 2013 |
| Arrest officer: | SCHARF |
| Booking number: | 2013020014 |
| Booking date: | Feb 3, 2013 |
| Booking location: | Polk County, OR |
| Booking number: | 27031 |
| Booking location: | Lincoln County, OR |
| Offense: | HOLD NPL WARRANT 104639 (PROB VIO ASLT) |
| Statute: | 163160 |
| Description: | ASSAULT IV DOMESTIC VIOLENCE |
| Charge: | ASSA IV DV |
| Total fines: | $ 0.00 |
| Total bond: | $ 0.00 |
| Total bail: | $ 15,000.00 |