| Date of birth: | Mar 27, 1961 |
| Hair: | Gray |
| Eyes: | Hazel |
| Sid number: | 17600961 |
| Bond amount: | $0 |
| SO#: | 33629 |
| Arrest date: | Nov 4, 2016 |
| Release date: | Nov 6, 2016 |
| Booking location: | Clackamas County, OR |
| Booking number: | 26304 |
| Booking date: | Jan 1, 1999 |
| Jail name: | Lincoln County Jail |
| Location: | 251 W Olive St, Newport, OR 97365 |