| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 2100 O' Neal Road; Suite 300; Hudson, WI 54016-0419; (715)386-5828 |
| Unit: | 5 02 |
| Pin number: | 852835 |
| Photo date: | Sep 29, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00564680 |
| Booking location: | Polk County, WI |
| Statute: | 941.20(1)(A) M , 943.01(1) M , 947.01 M |
| County: | ST. CROIX |
| Convicted: | Sep 29, 2010 |
| Case number: | 10CF193 |