| Date of birth: | 1990 |
| Unit description: | 2646 N. Packerland Dr; P.O. Box 13457; Green Bay, WI 54307-3457; (920)492-5760 |
| Unit: | 4 13 |
| Pin number: | 882621 |
| Photo date: | Aug 9, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00576204 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M |
| County: | BROWN |
| Convicted: | Jun 28, 2011 |
| Case number: | 11CM515 |