| Date of birth: | 1964 |
| Unit description: | 2565 E. Johnson St; Madison, WI 53704; (608)243-3300 |
| Unit: | 1 02 |
| Pin number: | 855259 |
| Photo date: | Oct 22, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00565476 |
| Booking location: | Douglas County, WI |
| Statute: | 813.12(4)(A) F , 940.19(1) M |
| County: | DANE |
| Convicted: | Oct 21, 2010 |
| Case number: | 10CF1039 |