| Date of birth: | Oct 19, 1986 |
| Unit description: | 1146 Grant St, Beloit, WI 53511-4125, (608)364-3040 |
| Unit: | 1 06 |
| Pin number: | 934200 |
| Photo date: | Oct 5, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00593612 |
| Booking location: | Wisconsin |
| Statute: | 939.05, 939.62(1)(A) , 940.19(1) M, 947.01(1) M |
| County: | ROCK |
| Convicted: | Oct 4, 2012 |
| Case number: | 12CM1794 |