| Date of birth: | Dec 23, 1982 |
| Unit description: | 922 Churchill St, Waupaca, WI 54981-2089, (715)258-4620 |
| Unit: | 4 07 |
| Pin number: | 901425 |
| Photo date: | Mar 16, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00583460 |
| Booking location: | Waupaca County, WI |
| Statute: | 947.01 M, 968.075(1)(A) |
| County: | OUTAGAMIE |
| Convicted: | Jan 5, 2012 |
| Case number: | 11CM1137 |