| Date of birth: | Oct 2, 1981 |
| Supervising agent: | Bill Moe |
| Oid number: | 207424 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | Dec 20, 2011 |
| Admit date: | Apr 16, 2009 |
| Release date: | Aug 22, 2011 |
| Booking location: | Faribault County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | FORG-FE-UTT-POSS-PLACE-CHK-U-250-PRE-CNV-BUS |
| Minnesota statute s: | 609.631.3 |
| Court file number: | 22CR09163 |
| Conviction county: | FARIBAULT |