| Date of birth: | Jan 9, 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 200835 |
| Active: | N |
| Booking number: | B12014522 |
| Booking date: | Jun 1, 2012 |
| Release date: | Jun 1, 2012 |
| Booking location: | Josephine County, OR |
| Violation level: | F |
| Violation description: | IDENTITY THEFT |
| Violation code: | 165.800 |
| Required cash amount: | $0 |
| Court case: | 12CR0304 |
| Clear type: | M&P |
| Charge number: | 1 |
| Bond type: | NIC |
| Bond amount: | $0 |
| Arrest date: | Sep 1, 2011 |
| Agency case number: | 11-10763 |
| Violation level: | F |
| Violation description: | IDENTITY THEFT |
| Violation code: | 165.800 |
| Required cash amount: | $0 |
| Court case: | 12CR0304 |
| Clear type: | M&P |
| Charge number: | 2 |
| Bond type: | NIC |
| Bond amount: | $0 |
| Arrest date: | Sep 1, 2011 |
| Agency case number: | 11-10763 |
| Violation level: | F |
| Violation description: | IDENTITY THEFT |
| Violation code: | 165.800 |
| Required cash amount: | $0 |
| Court case: | 12CR0304 |
| Clear type: | M&P |
| Charge number: | 3 |
| Bond type: | NIC |
| Bond amount: | $0 |
| Arrest date: | Sep 1, 2011 |
| Agency case number: | 11-10763 |
| Violation level: | F |
| Violation description: | THEFT 1ST DEG |
| Violation code: | 164.055 |
| Required cash amount: | $0 |
| Court case: | 12CR0304 |
| Clear type: | M&P |
| Charge number: | 4 |
| Bond type: | NIC |
| Bond amount: | $0 |
| Arrest date: | Sep 1, 2011 |
| Agency case number: | 11-10763 |
