| Date of birth: | Feb 21, 1969 |
| Bond amount: | $15,000 |
| SO#: | 07510579 |
| Arresting agency: | NPD |
| Arrest officer: | PURDOM |
| Booking number: | 20156558 |
| Booking date: | Nov 20, 2016 |
| Release date: | Nov 20, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |