| Date of birth: | 1977 |
| Hair: | Brown |
| Eyes: | Green |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 682047 |
| Photo date: | May 16, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00499602 |
| Booking location: | Polk County, WI |
| Statute: | 943.50(1M)(B) M |
| County: | DODGE |
| Convicted: | May 16, 2011 |
| Case number: | 11CM132 |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |