| Date of birth: | 1965 |
| Eyes: | Brown |
| Facility: | Stearns |
| Booking date: | Jul 1, 2004 |
| Release date: | Jul 2, 2004 |
| Jail name: | Stearns County Jail |
| Location: | 807 Courthouse Sq, Saint Cloud, MN 56303 |
| Arresting agency: | ST. CLOUD |
| Charge level: | Misdemeanor |
| Description: | DAS - NO PROOF INS |
| Case number: | T1-03-9362 |
| Bond amount: | $1,000 |