| Date of birth: | Nov 26, 1963 |
| Bond amount: | $7,500 |
| SO#: | 21021485 |
| Arresting agency: | NPD |
| Arrest officer: | KITTSON/22745 |
| Booking number: | 20150022 |
| Booking date: | Feb 4, 2015 |
| Release date: | Feb 4, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |