| Date of birth: | 1946 |
| Eyes: | Hazel |
| Facility: | Stearns |
| Booking date: | Sep 15, 2004 |
| Release date: | Sep 15, 2004 |
| Jail name: | Stearns County Jail |
| Location: | 807 Courthouse Sq, Saint Cloud, MN 56303 |
| Arresting agency: | HENNEPIN WARRANT |
| Description: | CON SUB 5-UNK ACT-UNK DRUG-UNK |
| Statute: | 152-025 |
| Bond amount: | $13,000 |