| Date of birth: | Nov 29, 1974 |
| Bond amount: | $0 |
| SO#: | 15402553 |
| Arresting agency: | NPL |
| Arrest officer: | 54331 |
| Booking number: | 20152550 |
| Booking date: | Nov 3, 2015 |
| Release date: | Nov 6, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |