| Date of birth: | 1979 |
| Unit description: | 500 Forest St, Rm 18; P.O. Box 1707; Wausau, WI 54402-1707; (715)261-1600 |
| Unit: | 6 14 |
| Pin number: | 877617 |
| Photo date: | Jun 17, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574234 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M , 968.075(1)(A)1 |
| County: | MARATHON |
| Convicted: | May 13, 2011 |
| Case number: | 10CM1804 |