| Date of birth: | 1971 |
| Unit description: | 273 South 17th Avenue; West Bend, WI 53095; (262)335-5665 |
| Unit: | 7 13 |
| Pin number: | 875861 |
| Photo date: | Apr 26, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573675 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |