| Date of birth: | 1979 |
| Eyes: | Brown |
| Facility: | Stearns |
| Arrest date: | Dec 8, 2012 |
| Booking date: | Dec 8, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Statute number: | 243-166 |
| Court docket number: | CR-10-4372 |
| Controlling agency: | ST. CLOUD/ SERVING |
| Charge level: | Felony |
| Charge: | POR/ KNOWINGLY VIST. REGIST |