| Date of birth: | May 8, 1953 |
| Bond amount: | $0 |
| SO#: | 07439360 |
| Arresting agency: | LCPD |
| Arrest officer: | JOHNSON |
| Booking number: | 20152047 |
| Booking date: | Sep 13, 2015 |
| Release date: | Sep 23, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |