| Date of birth: | Sep 19, 1960 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 00115703 |
| Sid: | 17216569 |
| Booking location: | Jackson County, OR |
| Lodging date: | Apr 30, 2016 |
| Charge: | 0163.160 ASSAULT 4 F / ASSAULT 4TH DEG - 2 - DV |
| Bond amount: | $0 |
| Arresting agency: | EPP |
| Lodging date: | Apr 30, 2016 |
| Charge: | 0166.065 HARASSMENT BM / HARASSMENT - 1 |
| Bond amount: | $0 |
| Arresting agency: | EPP |