| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Brown |
| Report: | 41238 |
| Offense: | FALSE INFO OF INS |
| Arrest date: | May 14, 2012 |
| Booking number: | 2012050108 |
| Booking date: | May 14, 2012 |
| Booking officer: | P026 WILLIAMS, JEFFERY |
| Booking location: | Polk County, OR |
| Offense: | FALSE INFO ABOUT LIABIL INSUR |
| Total fines: | $ 0.00 |
| Total bond: | $ 0.00 |
| Total bail: | $ 5,000.00 |
