| Date of birth: | 1963 |
| Unit description: | 260 Eastridge Drive; Suite II; Portage, WI 53901-1289; (608)742-4020 |
| Unit: | 8 10 |
| Pin number: | 870719 |
| Photo date: | Jul 21, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00571306 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) F |
| County: | DANE |
| Convicted: | Mar 9, 2011 |
| Case number: | 10CF950 |