| Date of birth: | May 28, 1979 |
| Hair: | Black |
| Eyes: | Brown |
| SO#: | 00107953 |
| Sid: | 15844302 |
| Booking location: | Jackson County, OR |
| Lodging date: | Oct 14, 2013 |
| Charge: | 0162.205 PCS F SCH II / FAIL TO APPEAR 1ST DEG - 1~PCS F SCH |
| Bond amount: | $5,000 |
| Arresting agency: | TAP |