| Date of birth: | 1963 |
| Unit description: | 5706 Odana Road; 2nd Floor; Madison, WI 53719; (608)273-5800 |
| Unit: | 1 12 |
| Pin number: | 879110 |
| Photo date: | Jun 2, 2011 |
| Booking number: | 00574904 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | DANE |
| Convicted: | Jun 2, 2011 |
| Case number: | 11CM727 |