| Date of birth: | 1972 |
| Hair: | Brown |
| Eyes: | Green |
| Unit description: | 4 E. Main St; P.O. Box 427; Black River Falls, WI 54615-0066; (715)284-4747 |
| Unit: | 5 07 |
| Pin number: | 875661 |
| Photo date: | May 5, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573583 |
| Booking location: | Polk County, WI |
| Statute: | 946.49(1)(A) M |
| County: | JACKSON |
| Convicted: | May 2, 2011 |
| Case number: | 10CM376 |