| Date of birth: | Aug 11, 1975 |
| Bond amount: | $15,000 |
| SO#: | 10563013 |
| Arresting agency: | LCSO |
| Arrest officer: | VERTNER-44800 |
| Booking number: | 20154499 |
| Booking date: | May 15, 2016 |
| Release date: | Jul 19, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |