| Date of birth: | 1969 |
| Unit description: | 200 N Jefferson Street; Suite 201; Green Bay, WI 54301; (920)448-5383 |
| Unit: | 4 14 |
| Pin number: | 874363 |
| Photo date: | May 16, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00572992 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M |
| County: | BROWN |
| Convicted: | Apr 14, 2011 |
| Case number: | 10CM1734 |