| Date of birth: | 1981 |
| Eyes: | Blue |
| Facility: | Stearns |
| Booking date: | Jul 19, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Court docket number: | CR-12-3134 |
| Controlling agency: | STEARNS WARRANT |
| Charge level: | Gross Misdemeanor |
| Charge: | DAC-IPS |
| Bond amount: | $2,000 |