| Date of birth: | Jul 26, 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| SO#: | 00080056 |
| Sid: | 11174820 |
| Booking location: | Jackson County, OR |
| Lodging date: | Aug 12, 2014 |
| Charge: | 0162.195 ASSAULT 4 / FAIL TO APPEAR 2ND DEG - 1~ASSAULT 4 |
| Bond amount: | $4,000 |
| Arresting agency: | MFP |
| Lodging date: | Aug 12, 2014 |
| Charge: | 0162.195 HARASSMENT / FAIL TO APPEAR 2ND DEG - 1~HARASSMEN |
| Bond amount: | $0 |
| Arresting agency: | MFP |