| Date of birth: | Mar 5, 1974 |
| Supervising agent: | Brad Larson |
| Oid number: | 171637 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | Jan 6, 2013 |
| Admit date: | Sep 12, 2012 |
| Release date: | Sep 13, 2012 |
| Booking location: | Ramsey County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | DOM ASLT-FE-INFLCT SUBST BOD HRM-HNDS-ADLT-FAM |
| Minnesota statute s: | 609.2242.4 |
| Court file number: | 62CR101225 |
| Conviction county: | RAMSEY |