| Date of birth: | Jan 16, 1969 |
| Bond amount: | $30,000 |
| SO#: | 07585106 |
| Arresting agency: | NPL |
| Arrest officer: | 44400 |
| Booking number: | 20153493 |
| Booking date: | Feb 1, 2016 |
| Release date: | Feb 1, 2016 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |