| Date of birth: | Nov 27, 1981 |
| Bond amount: | $15,000 |
| SO#: | 21536425 |
| Arresting agency: | OSP |
| Arrest officer: | SEVERSON/ 53141 |
| Booking number: | 20153367 |
| Booking date: | Jan 24, 2016 |
| Release date: | Jan 25, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |