| Date of birth: | Dec 27, 1984 |
| Unit description: | 1109 Professional Drive, Dodgeville, WI 53533, (608)935-3014 |
| Unit: | 8 12 |
| Pin number: | 924312 |
| Photo date: | May 25, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00588932 |
| Booking location: | Grant County, WI |
| Statute: | 940.19(1) M, 968.075(1)(A) |
| County: | GRANT |
| Convicted: | May 25, 2012 |
| Case number: | 12CM128 |