| Date of birth: | 1923 |
| Eyes: | Hazel |
| Facility: | Stearns |
| Booking date: | Nov 17, 2004 |
| Release date: | Nov 17, 2004 |
| Jail name: | Stearns County Jail |
| Location: | 807 Courthouse Sq, Saint Cloud, MN 56303 |
| Arresting agency: | MSP - COOK CO WARRANT |
| Charge level: | Misdemeanor |
| Description: | NO PROOF OF INS. / SPEED |
| Bond amount: | $400 |