| Date of birth: | 1982 |
| Unit description: | 4 E. Main St; P.O. Box 427; Black River Falls, WI 54615-0066; (715)284-4747 |
| Unit: | 5 07 |
| Pin number: | 861513 |
| Photo date: | Dec 21, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00567954 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |