| Date of birth: | 1971 |
| Unit description: | 4330 Golf Terrace; Suite 109; Eau Claire, WI 54701; (715)836-4764 |
| Unit: | 5 05 |
| Pin number: | 879637 |
| Photo date: | Jul 6, 2011 |
| Booking number: | 00574996 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) M |
| County: | EAU CLAIRE |
| Convicted: | Jun 9, 2011 |
| Case number: | 09CM368 |