| Date of birth: | 1985 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 163 W. Rockwell St; Jefferson, WI 53549-1632; (920)674-7840 |
| Unit: | 7 09 |
| Pin number: | 874135 |
| Photo date: | Apr 25, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00572979 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 940.44(1) M , 943.01(1) M |
| County: | JEFFERSON |
| Convicted: | Mar 29, 2011 |
| Case number: | 11CM17 |