| Date of birth: | Jul 30, 1958 |
| Bond amount: | $15,000 |
| SO#: | 17639919 |
| Arresting agency: | LCPD |
| Arrest officer: | DUNCAN |
| Booking number: | 20152039 |
| Booking date: | Sep 12, 2015 |
| Release date: | Sep 14, 2015 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |