| Date of birth: | 1992 |
| Unit description: | 7017 Raywood Road; Madison, WI 53713; (608)224-6310 |
| Unit: | 1 21 |
| Pin number: | 861361 |
| Photo date: | Dec 16, 2010 |
| Booking number: | 00567913 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(1)(H)1 F |
| County: | DANE |
| Convicted: | Dec 16, 2010 |
| Case number: | 10CF1439 |