| Date of birth: | Jun 15, 1988 |
| Unit description: | 4330 Golf Terrace, Suite 109, Eau Claire, WI 54701, (715)836-4764 |
| Unit: | 5 05 |
| Pin number: | 921647 |
| Photo date: | Jun 22, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00587638 |
| Booking location: | Wisconsin |
| Statute: | 961.41(3G)(C) M, 961.42(1) F, 973.015 |
| County: | EAU CLAIRE |
| Convicted: | May 15, 2012 |
| Case number: | 07CF957 |