| Date of birth: | 1981 |
| Unit description: | 273 South 17th Avenue; West Bend, WI 53095; (262)335-5665 |
| Unit: | 7 13 |
| Pin number: | 875397 |
| Photo date: | May 20, 2011 |
| Booking number: | 00573512 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(1M)(H)2 F |
| County: | WASHINGTON |
| Convicted: | Feb 28, 2011 |
| Case number: | 10CF163 |