| Date of birth: | 1987 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 1109 Professional Drive; Dodgeville, WI 53533; (608)935-3014 |
| Unit: | 8 12 |
| Pin number: | 862936 |
| Photo date: | Jan 4, 2011 |
| Booking number: | 00568328 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(E) M , 973.015 |
| County: | GRANT |
| Convicted: | Jan 4, 2011 |
| Case number: | 10CM341 |