| Date of birth: | Nov 9, 1961 |
| Supervising agent: | Steve Olson |
| Oid number: | 128403 |
| Inmate status: | Intensive Supervised Release |
| Facility: | ISR |
| Expiration date: | Jan 6, 2012 |
| Admit date: | Jul 21, 2011 |
| Release date: | Sep 6, 2011 |
| Booking location: | Itasca County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | ASLT 3-SUBSTANTIAL INJURY-POS FRRM-ADLT-ACQ |
| Minnesota statute s: | 609.223.1 |
| Court file number: | 31CR091107 |
| Conviction county: | ITASCA |