| Date of birth: | Mar 16, 1984 |
| Bond amount: | $20,000 |
| SO#: | 17349543 |
| Arresting agency: | OSP |
| Arrest officer: | SEVERSEN/53141 |
| Booking number: | 20157073 |
| Booking date: | Dec 28, 2016 |
| Release date: | Dec 29, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |