| Date of birth: | 1967 |
| Eyes: | Blue |
| Facility: | Stearns |
| Arrest date: | Oct 13, 2012 |
| Booking date: | Oct 12, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Court docket number: | CR-12-6296 |
| Controlling agency: | STEARNS SERVING |
| Charge level: | Gross Misdemeanor |
| Charge: | DAC-IPS |