| Date of birth: | Nov 13, 1977 |
| Hair: | Brown |
| Eyes: | Hazel |
| Sid: | 16966204 |
| Sheriff office number: | 00114387 |
| Booking location: | Jackson County, OR |
| Lodging date: | Oct 17, 2011 |
| Charge: | 0162.195 LIQ/FURNISH / FAIL TO APPEAR 2ND DEG-1~FURNISH LIQ |
| Bond amount: | Y |
| Arresting agency: | ADP |