| Date of birth: | 1974 |
| Eyes: | Blue |
| Facility: | Stearns |
| Arrest date: | Sep 13, 2012 |
| Booking date: | Sep 13, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Statute number: | 609-2242-1 |
| Controlling agency: | COLD SPRING |
| Charge level: | Misdemeanor |
| Charge: | ASSAULT-DOMESTIC-MS / DISORDERLY |