| Date of birth: | Oct 7, 1981 |
| Hair: | Black |
| Eyes: | Brown |
| Unit description: | 220 Seippel Boulevard, Suite 2, Beaver Dam, WI 53916-0517, (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 917229 |
| Photo date: | Feb 21, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00585572 |
| Booking location: | Wisconsin |
| Statute: | 961.41(3G)(E) M, 961.573(1) M |
| County: | DODGE |
| Convicted: | Feb 21, 2012 |
| Case number: | 11CF193 |