| Date of birth: | 1985 |
| Unit description: | 7017 Raywood Road; Madison, WI 53713; (608)224-6310 |
| Unit: | 1 21 |
| Pin number: | 875879 |
| Photo date: | May 4, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00573731 |
| Booking location: | Polk County, WI |
| Statute: | 943.01(1) M , 947.01 M |
| County: | DANE |
| Convicted: | May 3, 2011 |
| Case number: | 11CM953 |