| Date of birth: | 1973 |
| Unit description: | 940 Maritime Dr; Manitowoc, WI 54220-2921; (920)683-4590 |
| Unit: | 4 09 |
| Pin number: | 716959 |
| Photo date: | Jun 28, 2007 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00515301 |
| Booking location: | Polk County, WI |
| Statute: | 943.20(1)(B) F |
| County: | SHAWANO |
| Convicted: | Apr 6, 2007 |
| Case number: | 06CF00230 |