| Date of birth: | 1976 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 1000 Log Lodge Ct; Baraboo, WI 53913-9293; (608)355-3840 |
| Unit: | 8 11 |
| Pin number: | 873268 |
| Photo date: | Apr 12, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00572562 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M |
| County: | DANE |
| Convicted: | Apr 12, 2011 |
| Case number: | 10CF1976 |