| Date of birth: | 1980 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 874388 |
| Photo date: | May 13, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573017 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 941.20(1)(A) M , 947.01 M , 968.075(1)(A)1 |
| County: | BARRON |
| Convicted: | Apr 6, 2011 |
| Case number: | 11CF57 |