| Date of birth: | 1976 |
| Unit description: | 7017 Raywood Road; Madison, WI 53713; (608)224-6310 |
| Unit: | 1 21 |
| Pin number: | 872647 |
| Photo date: | Mar 31, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00572333 |
| Booking location: | Polk County, WI |
| Statute: | 943.50(1M)(C) M |
| County: | DANE |
| Convicted: | Mar 31, 2011 |
| Case number: | 11CM65 |