| Date of birth: | 1972 |
| Eyes: | Brown |
| Facility: | Stearns |
| Arrest date: | Sep 22, 2012 |
| Booking date: | Sep 22, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Statute number: | 609-2242-1 |
| Controlling agency: | MN0730400 |
| Charge level: | Misdemeanor |
| Charge: | ASSAULT-DOMESTIC-MS |