| Date of birth: | 1986 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 876996 |
| Photo date: | Jul 7, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574090 |
| Booking location: | Polk County, WI |
| Statute: | 948.22(3) M |
| County: | WASHBURN |
| Convicted: | May 23, 2011 |
| Case number: | 09CF41 |