| Date of birth: | May 15, 1981 |
| 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: | 919508 |
| Photo date: | Apr 2, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00586694 |
| Booking location: | Clark County, WI |
| Statute: | 940.19(1) M, 968.075(1)(A)1, 973.055(1) |
| County: | CLARK |
| Convicted: | Apr 2, 2012 |
| Case number: | 11CM169 |