| Date of birth: | 1978 |
| Unit description: | 200 N. Jefferson St, Suite 201; Green Bay, WI 54301-5188; (920)448-5383 |
| Unit: | 4 06 |
| Pin number: | 849678 |
| Photo date: | Oct 8, 2010 |
| Booking number: | 00563570 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(C) F |
| County: | BROWN |
| Convicted: | Apr 27, 2010 |
| Case number: | 09CF1190 |