| Date of birth: | 1969 |
| Unit description: | 7017 Raywood Road; Madison, WI 53713; (608)224-6310 |
| Unit: | 1 21 |
| Pin number: | 737561 |
| Photo date: | Jun 10, 2010 |
| Booking number: | 00524653 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(1M)(CM)2 F |
| County: | DANE |
| Convicted: | Jan 22, 2008 |
| Case number: | 06CF00830 |