| Date of birth: | Aug 2, 1967 |
| Supervising agent: | Andy Hadrava |
| Oid number: | 145014 |
| Inmate status: | Challenge Incarceration Program |
| Facility: | CIP COMM |
| Expiration date: | Jul 19, 2017 |
| Admit date: | May 18, 2010 |
| Mni: | 28023 |
| Release date: | Jul 19, 2011 |
| Booking location: | Beltrami County, MN |
| Booking number: | 10040 |
| Booking date: | Apr 11, 2015 |
| Booking location: | Beltrami County, MN |
| Offense modifier: | NOT/APPL |
| Offense description: | TRAF-AC-FE-1ST DEG DWI-UI ALCOHOL-MV |
| Minnesota statute s: | 169A.20.1(1) |
| Court file number: | 04CR095551 |
| Conviction county: | BELTRAMI |
| Violation: | Warrant-Criminal Vehicular Operation - Great Bodily H |
| Type: | G |
| Status: | COURT/PENDING |