| Date of birth: | 1978 |
| Eyes: | Blue |
| Facility: | Stearns |
| Arrest date: | Dec 18, 2012 |
| Booking date: | Dec 18, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Statute number: | 152-021 |
| Court docket number: | 11-DOC-3103 |
| Controlling agency: | DOC-WARRANT |
| Charge level: | Felony |
| Charge: | CON SUB 1-FE |