| Date of birth: | 1974 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 793733 |
| Photo date: | Aug 13, 2009 |
| Booking number: | 00545191 |
| Booking location: | Polk County, WI |
| Statute: | 939.05 , 943.02(1)(B) F |
| County: | WASHBURN |
| Convicted: | Mar 17, 2009 |
| Case number: | 08CF62 |