| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Brown |
| Offense: | ASSAULT IV (DOMESTIC) |
| File number: | 52034 |
| Arrest date: | Nov 30, 2012 |
| Arrest officer: | S594 PRAGER,R |
| Booking number: | 2012110250 |
| Booking date: | Nov 30, 2012 |
| Booking location: | Polk County, OR |
| Offense: | ASSAULT 4TH DEG - 1 |
| Total fines: | $ 0.00 |
| Total bond: | $ 0.00 |
| Total bail: | $ 10,000.00 |
