| Date of birth: | Apr 5, 1990 |
| Supervising agent: | Chris Bauer |
| Oid number: | 236455 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | Feb 28, 2012 |
| Admit date: | Dec 28, 2011 |
| Release date: | Jan 4, 2012 |
| Booking location: | Otter Tail County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | FE-FAILURE TO REGISTER AS PREDATORY OFFENDER |
| Minnesota statute s: | 243.166.5(a) |
| Court file number: | 56CR1153 |
| Conviction county: | OTTER TAIL |