| Date of birth: | 1980 |
| Hair: | Blond |
| Eyes: | Blue |
| F: | na |
| Arresting agency: | UCJ |
| Booking date: | Nov 9, 2012 |
| Booking location: | Umatilla County, OR |
| Statute description: | In-state Hold |
| Status: | Open/Pending |
| Counts: | 1 |
| Charge number: | 1 |
| Case number: | 1100166M |
| Bond amout: | 10,000.00 |
| Arrest date: | Nov 9, 2012 |
| Agency: | Oregon State Police |