| Date of birth: | 1967 |
| Eyes: | Black |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 15 |
| Pin number: | 552617 |
| Photo date: | Aug 3, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00459195 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(E) M |
| County: | WINNEBAGO |
| Convicted: | Mar 3, 2004 |
| Case number: | 04CM00057 |