| Date of birth: | 1973 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 4 E. Main St; P.O. Box 427; Black River Falls, WI 54615-0066; (715)284-4747 |
| Unit: | 5 07 |
| Pin number: | 876106 |
| Photo date: | May 20, 2011 |
| Booking number: | 00573683 |
| Booking location: | Clark County, WI |
| Statute: | 948.21(1)(A) M |
| County: | CLARK |
| Convicted: | May 9, 2011 |
| Case number: | 10CF41 |