| Date of birth: | 1987 |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 04 |
| Photo date: | Oct 25, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00564192 |
| Booking location: | Outagamie County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |