| Date of birth: | May 18, 1983 |
| Supervising agent: | Lance F. Culliver |
| Oid number: | 233474 |
| Inmate status: | Challenge Incarceration Program |
| Facility: | CIP COMM |
| Expiration date: | Sep 6, 2014 |
| Admit date: | Oct 19, 2010 |
| Release date: | Nov 15, 2011 |
| Booking location: | Beltrami County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | CON SUB 2-POSSESS-CRACK-UNK |
| Minnesota statute s: | 152.022.2(1) |
| Court file number: | 04CR093274 |
| Conviction county: | BELTRAMI |
