| Date of birth: | Feb 15, 1978 |
| Hair: | Brown |
| Eyes: | Brown |
| SO#: | 00100037 |
| Sid: | 12198232 |
| Booking location: | Jackson County, OR |
| Lodging date: | Nov 25, 2015 |
| Charge: | 0162.195 FP NONSUPPORT / FAIL TO APPEAR 2ND DEG - 1~PV NONSUP |
| Bond amount: | $4,000 |
| Arresting agency: | MFP |