| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 876715 |
| Photo date: | May 11, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574019 |
| Booking location: | Polk County, WI |
| Statute: | 813.125(7) M , 947.01 M |
| County: | DODGE |
| Convicted: | May 11, 2011 |
| Case number: | 10CF319 |