| Bond amount: | $40,000 |
| Arresting agency: | ALL |
| Arrest officer: | WALKER |
| Booking number: | 2012010134 |
| Booking date: | Jan 20, 2012 |
| Release date: | Jan 20, 2012 |
| Jail name: | Polk County Jail |
| Location: | 884 SE Jefferson St, Dallas, OR 97338 |
| Statute: | 165.803 |
| Description: | AGGRAVATED IDENTITY THEFT AW 12P3033 |
| Bond amount: | $40,000 |
| Statute: | 165.013 |
| Description: | FORGERY 1ST DEG AW 12P3033 |
| Bond amount: | $0 |