| Date of birth: | 1973 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 881158 |
| Photo date: | Jul 25, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00575657 |
| Booking location: | Polk County, WI |
| Statute: | 813.12(3)(A) M , 943.14 M , 947.01 M , 968.075(1)(A)1 |
| County: | BARRON |
| Convicted: | Jun 15, 2011 |
| Case number: | 11CF47 |