| Date of birth: | Apr 24, 1980 |
| Supervising agent: | Nancy Bellmont |
| Oid number: | 215313 |
| Inmate status: | Supervised Release |
| Facility: | CIP COMM |
| Expiration date: | Oct 2, 2013 |
| Admit date: | Sep 17, 2004 |
| Release date: | Dec 6, 2006 |
| Booking location: | Stearns County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | CON SUB 1-SALE-METHAM-UNK |
| Minnesota statute s: | 152 021 1 1 3 a |
| Court file number: | KX-02-6031 |
| Conviction county: | STEARNS |