| Date of birth: | Sep 1, 1961 |
| Bond amount: | $15,000 |
| SO#: | 21803317 |
| Arresting agency: | TPD |
| Arrest officer: | CROCKER 53664 |
| Booking number: | 20154838 |
| Booking date: | Jun 19, 2016 |
| Release date: | Jun 19, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |