| Date of birth: | 1966 |
| Unit description: | 838 Clermont Street; Antigo, WI 54409; (715)627-6262 |
| Unit: | 6 04 |
| Pin number: | 851316 |
| Photo date: | Oct 5, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00564173 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(G) F , 961.48(1)(B) , 961.65 F |
| County: | LINCOLN |
| Convicted: | Sep 20, 2010 |
| Case number: | 09CF241 |