| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 15 |
| Pin number: | 856710 |
| Photo date: | Oct 8, 2010 |
| Inmate status: | REVOKED |
| Booking number: | 00566072 |
| Booking location: | Polk County, WI |
| Statute: | 943.50(1M)(C) M , 946.41(1) M |
| County: | OCONTO |
| Convicted: | Mar 29, 2010 |
| Case number: | 10CM12 |
| Statute: | 946.41(1) M |
| County: | OCONTO |
| Convicted: | Oct 5, 2010 |
| Case number: | 10CM154 |