| Date of birth: | Mar 26, 1980 |
| Supervising agent: | Tony Ortloff |
| Oid number: | 202848 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | Sep 18, 2012 |
| Admit date: | Sep 2, 2010 |
| Release date: | Nov 9, 2011 |
| Booking location: | Becker County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | FE-FAILURE TO REGISTER AS PREDATORY OFFENDER |
| Minnesota statute s: | 243.166.5(a) |
| Court file number: | 03CR10462 |
| Conviction county: | BECKER |