| Date of birth: | 1975 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 860221 |
| Photo date: | Dec 17, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00567495 |
| Booking location: | Polk County, WI |
| Statute: | 939.05 , 943.50(1M)(B) M |
| County: | DODGE |
| Convicted: | Dec 10, 2010 |
| Case number: | 10CM289 |