| Date of birth: | 1978 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 15 |
| Pin number: | 866632 |
| Photo date: | Apr 1, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00569667 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(2) F |
| County: | WINNEBAGO |
| Convicted: | Dec 6, 2010 |
| Case number: | 10CF440 |