| Date of birth: | 1975 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 2902 N. Mason St; Appleton, WI 54914-1316; (920)832-2700 |
| Unit: | 4 02 |
| Pin number: | 402897 |
| Photo date: | Jul 7, 2009 |
| Booking number: | 00368298 |
| Booking location: | Polk County, WI |
| Statute: | 939.05 , 961.41(1M)CM5 F , 961.50(1) |
| County: | FOND DU LAC |
| Convicted: | Mar 15, 1999 |
| Case number: | 96CF00229 |