| Date of birth: | 1986 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 4 E. Main St; P.O. Box 427; Black River Falls, WI 54615-0066; (715)284-4747 |
| Unit: | 5 07 |
| Pin number: | 877625 |
| Photo date: | Jun 2, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574348 |
| Booking location: | Polk County, WI |
| Statute: | 943.01(1) M , 947.01 M |
| County: | CLARK |
| Convicted: | Jun 2, 2011 |
| Case number: | 10CF136 |