| Date of birth: | 1968 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 881676 |
| Photo date: | Jul 11, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00575885 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | DODGE |
| Convicted: | Jul 11, 2011 |
| Case number: | 11CT2 |