| Date of birth: | Nov 3, 1976 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00085216 |
| Sid: | 12054942 |
| Booking location: | Jackson County, OR |
| Release date: | Sep 24, 2012 |
| Lodging date: | Jul 30, 2012 |
| Charge: | CUSTODY VIOLATOR / CUSTODY VIOLATOR-PARV PCS/METH |
| Bond amount: | $0 |
| Arresting agency: | MFS |