| Date of birth: | 1971 |
| Unit description: | 9531 Rayne Road; Suite 3; Sturtevant, WI 53177-1833; (262)884-3700 |
| Unit: | 2 09 |
| Pin number: | 868920 |
| Photo date: | Mar 31, 2011 |
| Booking number: | 00570617 |
| Booking location: | Polk County, WI |
| Statute: | 944.20(1)(B) M , 947.01 M |
| County: | RACINE |
| Convicted: | Feb 11, 2011 |
| Case number: | 10CM2021 |