| Date of birth: | 1969 |
| Eyes: | Green |
| Facility: | Stearns |
| Arrest date: | Oct 14, 2012 |
| Booking date: | Oct 15, 2012 |
| Booking location: | Stearns County, MN |
| Weekender: | No |
| Statute number: | 609-52-2-3-I |
| Court docket number: | CR-11-9802 |
| Controlling agency: | ST. CLOUD WRNT |
| Charge level: | Gross Misdemeanor |
| Charge: | CHECK FORGERY-GM |
| Bond amount: | $1,000 |