| Date of birth: | Sep 30, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 5600 West Grande Market Dr, Appleton, WI 54913, (920)997-1480 |
| Unit: | 4 15 |
| Pin number: | 904048 |
| Photo date: | Mar 9, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00584594 |
| Booking location: | Outagamie County, WI |
| Statute: | 940.19(1) M, 968.075(1)(A) |
| County: | OUTAGAMIE |
| Convicted: | Feb 7, 2012 |
| Case number: | 11CM570 |