| Date of birth: | Aug 12, 1966 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 201202 |
| Active: | N |
| Booking number: | B12015681 |
| Booking date: | Oct 24, 2012 |
| Release date: | Oct 25, 2012 |
| Booking location: | Josephine County, OR |
| Violation level: | M |
| Violation description: | VIOLATION OF RELEASE AGREEMENT; JACKSON COUNTY |
| Violation code: | 135.290 |
| Required cash amount: | $500 |
| Clear type: | NFL |
| Charge number: | 1 |
| Bond type: | CASH ONLY |
| Bond amount: | $5,000 |
| Arrest location: | 205 NE BEACON DR |
| Arrest date: | Oct 24, 2012 |
| Agency case number: | 12-70425 |