| Date of birth: | Oct 8, 1967 |
| Bond amount: | $125,000 |
| SO#: | 11936154 |
| Arresting agency: | LCPD |
| Arrest officer: | TOLZMAN 55565 |
| Booking number: | 20156548 |
| Booking date: | Nov 18, 2016 |
| Release date: | Nov 21, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |