| Hair: | Brown |
| Eyes: | Brown |
| Sid: | 13742133 |
| Lodged date: | Dec 20, 2012 |
| Bail amount: | $40,000 |
| Authority: | LINCOLN |
| Booking number: | 24175 |
| Booking location: | Lincoln County, OR |
| Statute: | 163160 |
| Description: | ASSAULT IV DOMESTIC VIOLENCE |
| Charge: | ASSA IV DV |
| Statute: | 166025 |
| Description: | DISORDERLY CONDUCT |
| Charge: | DIS CON II |
| Statute: | 163190 |
| Description: | MENACING |
| Charge: | MENACING |