| Date of birth: | 1977 |
| Unit description: | 1310 N 14th Street; Suite 260; Superior, WI 54880-0848; (715)392-7915 |
| Unit: | 5 06 |
| Pin number: | 874920 |
| Photo date: | May 12, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573326 |
| Booking location: | Polk County, WI |
| Statute: | 947.012(1)(A) M , 968.075(1)(A)1 |
| County: | DOUGLAS |
| Convicted: | May 9, 2011 |
| Case number: | 10CM419 |
