| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 662733 |
| Photo date: | Mar 17, 2006 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00493934 |
| Booking location: | Polk County, WI |
| Statute: | 943.20(1)(B) F |
| County: | DODGE |
| Convicted: | Mar 17, 2006 |
| Case number: | 05CF00402 |