| Date of birth: | 1950 |
| Hair: | Gray |
| Eyes: | Green |
| Report: | 42994 |
| Offense: | ASSAULT 4 12P50471 |
| Arrest date: | May 14, 2012 |
| Booking number: | 2012050112 |
| Booking date: | May 14, 2012 |
| Booking officer: | P204 WHITTAKER, RANDY |
| Booking location: | Polk County, OR |
| Offense: | ASSAULT 4TH DEG |
| Total fines: | $ 0.00 |
| Total bond: | $ 0.00 |
| Total bail: | $ 5,000.00 |