| Date of birth: | Nov 12, 1981 |
| Pin number: | 612048 |
| Photo date: | Aug 22, 2005 |
| Inmate status: | TERMINATED |
| Booking number: | 00477089 |
| Booking location: | Wisconsin |
| Statute: | 961.41(3G)(E) F, 961.48(1)(A) |
| County: | OUTAGAMIE |
| Convicted: | Feb 1, 2005 |
| Case number: | 04CF00403 |