| Date of birth: | 1981 |
| Eyes: | Blue |
| Facility: | Stearns |
| Arrest date: | Oct 4, 2013 |
| Booking date: | Oct 4, 2013 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Court docket number: | CR-12-10703 |
| Controlling agency: | MN0730400 |
| Charge level: | Gross Misdemeanor |
| Charge: | DAC-IPS |