| Date of birth: | 1981 |
| Hair: | Brown |
| Eyes: | Green |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 776581 |
| Photo date: | Nov 26, 2008 |
| Booking number: | 00539260 |
| Booking location: | Polk County, WI |
| Statute: | 940.20(2) F |
| County: | DODGE |
| Convicted: | Nov 26, 2008 |
| Case number: | 08CF00317 |