| Date of birth: | May 25, 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 50622 |
| Active: | N |
| Booking number: | B12012952 |
| Booking date: | Jan 16, 2012 |
| Release date: | Jan 17, 2012 |
| Booking location: | Josephine County, OR |
| Violation description: | FUGITIVE FROM OTHER STATE |
| Violation code: | 133.747 |
| Required cash amount: | $0 |
| Clear type: | BAIL |
| Charge number: | 1 |
| Bond amount: | $20,000 |
| Arrest location: | THREE RIVERS HOSPITAL |
| Arrest date: | Jan 16, 2012 |
| Agency case number: | 12-000343 |
