| Date of birth: | 1966 |
| Eyes: | Brown |
| Facility: | Stearns |
| Arrest date: | Sep 23, 2013 |
| Booking date: | Sep 23, 2013 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Statute number: | 609-625-3 OR 609-63 |
| Court docket number: | CR-12-4182 |
| Controlling agency: | STEARNS WARRANT |
| Charge level: | Felony |
| Charge: | CHECK FORGERY-FE |
| Bond amount: | $10,000 |