| Date of birth: | Oct 18, 1966 |
| Hair: | Brown |
| Eyes: | Green |
| SO#: | 00132074 |
| Sid: | 20829017 |
| Booking location: | Jackson County, OR |
| Release date: | Jun 17, 2015 |
| Lodging date: | Jan 12, 2015 |
| Charge: | 0165.692 FALSE CLAIM HEAL / FALSE CLAIM HEALTHCARE PAYMENT |
| Bond amount: | $0 |
| Arresting agency: | MFS |