| Date of birth: | 1953 |
| Eyes: | Blue |
| Facility: | Stearns |
| Booking date: | Aug 15, 2004 |
| Release date: | Sep 15, 2004 |
| Jail name: | Stearns County Jail |
| Location: | 807 Courthouse Sq, Saint Cloud, MN 56303 |
| Arresting agency: | MT DOC-EXTRADITION |
| Charge level: | Felony |
| Description: | FAMILY MEMBER ASSAULT |
| Case number: | K6-04-3549 |
| Statute: | 609-224 |
| Bond amount: | $0 |