| Date of birth: | Nov 30, 1985 |
| Hair: | Blond |
| Eyes: | Brown |
| Sid: | 19129696 |
| Sheriff office number: | 00125025 |
| Booking location: | Jackson County, OR |
| Lodging date: | Dec 3, 2011 |
| Charge: | 0133.747 FUGITIVE/MT / FUGITIVE FROM OTHER STATE - 1 |
| Bond amount: | $250,000 |
| Arresting agency: | CPP |