| Date of birth: | Sep 7, 1974 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 2902 N. Mason St, Appleton, WI 54914-1316, (920)832-2700 |
| Unit: | 4 02 |
| Photo date: | Aug 9, 2011 |
| Booking number: | 00577672 |
| Booking location: | Outagamie County, WI |
| Statute: | 947.01 M, 968.075(1)(A) |
| County: | OUTAGAMIE |
| Convicted: | Aug 9, 2011 |
| Case number: | 10CM116 |