| Date of birth: | Nov 5, 1964 |
| Supervising agent: | Meghan Bader |
| Oid number: | 104474 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | May 25, 2013 |
| Admit date: | Dec 1, 2004 |
| Release date: | May 27, 2008 |
| Booking location: | Itasca County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | TRAF-AC-FE-1ST DEG DWI-UI ALCOHOL-MV |
| Minnesota statute s: | 169A 20 1 5 169A 24 |
| Court file number: | K4-04-0809 |
| Conviction county: | ITASCA |