| Date of birth: | 1967 |
| Eyes: | Brown |
| Facility: | Stearns |
| Booking date: | Apr 19, 2004 |
| Release date: | Apr 20, 2004 |
| Jail name: | Stearns County Jail |
| Location: | 807 Courthouse Sq, Saint Cloud, MN 56303 |
| Arresting agency: | ST CLOUD PD WARRANT |
| Charge level: | Misdemeanor |
| Description: | DOMESTIC ASSAULT |
| Case number: | T4-04-200 |
| Statute: | 609-224-2 |
| Bond amount: | $500 |