| Bond amount: | $565 |
| Arresting agency: | IPD |
| Arrest officer: | 20199 |
| Booking number: | 1991001250 |
| Booking date: | Jul 2, 1991 |
| Release date: | Jul 2, 1991 |
| Jail name: | Polk County Jail |
| Location: | 884 SE Jefferson St, Dallas, OR 97338 |
| Statute: | 163.16 |
| Description: | ASSAULT 4TH DEGREE |
| Bond amount: | $565 |