| Date of birth: | 1974 |
| Eyes: | Black |
| Unit description: | 2902 N. Mason St; Appleton, WI 54914-1316; (920)832-2700 |
| Unit: | 4 02 |
| Pin number: | 866436 |
| Photo date: | Feb 7, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00569611 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(E) M |
| County: | DODGE |
| Convicted: | Feb 3, 2011 |
| Case number: | 10CF296 |