| Date of birth: | 1964 |
| Eyes: | Green |
| Facility: | Stearns |
| Arrest date: | Dec 1, 2012 |
| Booking date: | Dec 1, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Court docket number: | CR-12-6235 |
| Controlling agency: | STEARNS SENTENCE |
| Charge level: | Gross Misdemeanor |
| Charge: | DAC-IPS-GM |