| Date of birth: | 1966 |
| Eyes: | Brown |
| Facility: | Stearns |
| Arrest date: | Nov 17, 2012 |
| Booking date: | Nov 17, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Statute number: | 243-166 |
| Controlling agency: | CLAY CO |
| Charge: | FE-FAILURE TO REGISTER AS PREDATORY OFFENDER |
| Bond amount: | $0 |