| Date of birth: | Dec 2, 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Inmate number: | 200790 |
| Active: | N |
| Booking number: | B12014403 |
| Booking date: | May 13, 2012 |
| Release date: | May 13, 2012 |
| Booking location: | Josephine County, OR |
| Violation description: | OUT OF COUNTY HOLD - WARRANT; FORGERY |
| Violation code: | 555.555 |
| Required cash amount: | $1,000 |
| Court date: | Jun 18, 2012 |
| Court case: | 11CR2397FE |
| Clear type: | BAIL |
| Charge number: | 1 |
| Bond type: | CASH ONLY |
| Bond amount: | $10,000 |
| Arrest location: | I-5 SOUTHBOUND MP 60 |
| Arrest date: | May 13, 2012 |
| Agency case number: | 12-155880 |
