| Date of birth: | Jul 18, 1987 |
| Unit description: | 1146 Grant St, Beloit, WI 53511-4125, (608)364-3040 |
| Unit: | 1 06 |
| Photo date: | Jun 15, 2011 |
| Booking number: | 00575774 |
| Booking location: | Polk County, WI |
| Statute: | 941.29(2)(A) F, 961.41(1M)(H)1 F |
| County: | ROCK |
| Convicted: | Jun 15, 2011 |
| Case number: | 10CF2901 |