| Date of birth: | Dec 29, 1970 |
| Bond amount: | $0 |
| SO#: | 21047300 |
| Arresting agency: | NPL |
| Arrest officer: | 54331 |
| Booking number: | 20153266 |
| Booking date: | Jan 14, 2016 |
| Release date: | Apr 12, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |