| Date of birth: | 1989 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 820860 |
| Photo date: | Jul 12, 2011 |
| Institution: | Supervised Living Facility |
| Inmate status: | INCARCERATED |
| Booking number: | 00554092 |
| Booking location: | Polk County, WI |
| Statute: | 939.05 , 943.01(2)(D) F , 943.10(2)(B) F , 943.20(1)(A) F |
| County: | WASHBURN |
| Convicted: | Nov 19, 2009 |
| Case number: | 09CF65 |