| Date of birth: | Jun 18, 1979 |
| Bond amount: | $15,000 |
| SO#: | 18860304 |
| Arresting agency: | NPL |
| Arrest officer: | 54331 |
| Booking number: | 20157055 |
| Booking date: | Dec 27, 2016 |
| Release date: | Dec 27, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |