| Date of birth: | Jan 22, 1952 |
| Supervising agent: | Justin Ball |
| Oid number: | 125935 |
| Inmate status: | Supervised Release |
| Facility: | SUPV REL |
| Expiration date: | Feb 18, 2012 |
| Admit date: | May 20, 2010 |
| Release date: | Jun 20, 2011 |
| Booking location: | Mahnomen County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | FE-FAILURE TO REGISTER AS PREDATORY OFFENDER |
| Minnesota statute s: | 243.166.5(a) |
| Court file number: | 44CR08405 |
| Conviction county: | MAHNOMEN |