| Date of birth: | Jan 13, 1954 |
| Supervising agent: | Joseph Boeltl |
| Oid number: | 104853 |
| Inmate status: | Intensive Supervised Release |
| Facility: | ISR |
| Expiration date: | Sep 22, 2013 |
| Admit date: | Apr 4, 1994 |
| Release date: | Dec 11, 2006 |
| Booking location: | Crow Wing County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | ASLT 1-GREAT BODILY HARM-FIREARM-ADLT-ACQ |
| Minnesota statute s: | 609 221 |
| Court file number: | 18K693000648 |
| Conviction county: | CROW WING |