| Date of birth: | Oct 13, 1961 |
| Hair: | Gray |
| Eyes: | Hazel |
| Incident number: | 2016C06359 |
| File number: | 10830 |
| Book date: | Nov 17, 2016 |
| Arrest case number: | 2016C06359 |
| Arresting agency: | Corvallis PD |
| Arrest date: | Nov 17, 2016 |
| Booking number: | 1600001964 |
| Booking location: | Benton County, OR |
| Offense: | HIT & RUN VEHICLE-INJURY |