| Date of birth: | 1993 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 4 E. Main St; P.O. Box 427; Black River Falls, WI 54615-0066; (715)284-4747 |
| Unit: | 5 07 |
| Pin number: | 860332 |
| Photo date: | Jan 5, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00567454 |
| Booking location: | Polk County, WI |
| Statute: | 940.225(3M) M , 944.20(1)(B) M , 947.01 M , 948.40(1) M |
| County: | CLARK |
| Convicted: | Dec 6, 2010 |
| Case number: | 10CF63 |