| Date of birth: | 1987 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 1109 Professional Drive; Dodgeville, WI 53533; (608)935-3014 |
| Unit: | 8 12 |
| Pin number: | 849972 |
| Photo date: | Sep 1, 2010 |
| Booking number: | 00563716 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 |
| County: | GRANT |
| Convicted: | Sep 1, 2010 |
| Case number: | 09CM69 |