| Date of birth: | Aug 5, 1979 |
| Bond amount: | $7,500 |
| SO#: | 13549889 |
| Arresting agency: | NPD |
| Arrest officer: | LEAKES |
| Booking number: | 20156320 |
| Booking date: | Nov 2, 2016 |
| Release date: | Nov 2, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |