| Hair: | Black |
| Eyes: | Blue |
| Sid: | 06227877 |
| Lodged date: | Oct 20, 2013 |
| Docket number: | 133537 |
| Bail amount: | $15,000 |
| Authority: | LINCOLN |
| Booking number: | 38955 |
| Booking location: | Lincoln County, OR |
| Statute: | 163160 |
| Description: | ASSAULT IV DOMESTIC VIOLENCE |
| Charge: | ASSA IV DV |