| Date of birth: | 1958 |
| Eyes: | Blue |
| Facility: | Stearns |
| Booking date: | Aug 12, 2004 |
| Release date: | Aug 12, 2004 |
| Jail name: | Stearns County Jail |
| Location: | 807 Courthouse Sq, Saint Cloud, MN 56303 |
| Arresting agency: | ST.CLOUD |
| Charge level: | Misdemeanor |
| Description: | FALSE INFO TO POLICE - DAC |
| Case number: | T6-04-3101 |
| Statute: | 609-506 |