| Date of birth: | 1986 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 593991 |
| Photo date: | Dec 6, 2004 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00471483 |
| Booking location: | Polk County, WI |
| Statute: | 346.04(3) F , 941.30(1) F |
| County: | GREEN LAKE |
| Convicted: | Jun 24, 2004 |
| Case number: | 04CF00026 |