| Date of birth: | Mar 31, 1963 |
| Hair: | Black |
| Eyes: | Black |
| Supervising agent: | Todd Anderson |
| Oid number: | 178129 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | Jan 7, 2012 |
| Admit date: | Mar 23, 2011 |
| Sex offender criminal code: | 609.344 1(C): Criminal Sexual Conduct Third Degree |
| Sex offender compliance status: | COMPLIANT |
| Pin number: | 686694 |
| Photo date: | Mar 23, 2012 |
| Side: | LEFT |
| Mark type: | SCAR |
| Body part: | SHOULDER |
| Release date: | Sep 7, 2011 |
| Booking location: | Hennepin County, MN |
| Booking number: | X0137497 |
| Booking location: | Douglas County, WI |
| Offense modifier: | NOT/APPL |
| Offense description: | FE-FAILURE TO REGISTER AS PREDATORY OFFENDER |
| Minnesota statute s: | 243.166.5(a) |
| Court file number: | 27CR11616 |
| Conviction county: | HENNEPIN |
