| Date of birth: | Feb 22, 1951 |
| Hair: | Brown |
| Eyes: | Hazel |
| Incident number: | CM0820198 |
| File number: | 1910 |
| Book date: | Jan 31, 2017 |
| Arresting agency: | Benton County Jail |
| Arrest date: | Jan 31, 2017 |
| Booking number: | 1700000177 |
| Booking location: | Benton County, OR |
| Offense: | PPS VIOLATION |