| Date of birth: | 1961 |
| Hair: | Black |
| Eyes: | Brown |
| Jacket number: | 3482 |
| Inmate classification: | Detox Only |
| Arresting agency: | Bismarck Police Department |
| Arrest number: | 6264 |
| Arrest date: | Jun 21, 2013 |
| Booking date: | Jun 21, 2013 |
| Booking location: | Burleigh County, ND |
| Status: | Detox |
| Charge number: | 17778 |
| Charge description: | Detox |
| Bond type: | Detoxification Only |
| Arrest code: | 5-01-05.1 |