| Date of birth: | Mar 24, 1981 |
| Unit description: | 5600 West Grande Market Dr, Appleton, WI 54913, (920)997-1480 |
| Unit: | 4 04 |
| Pin number: | 892013 |
| Photo date: | Oct 5, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00579705 |
| Booking location: | Outagamie County, WI |
| Statute: | 940.19(1) M, 947.01 M |
| County: | OUTAGAMIE |
| Convicted: | Oct 5, 2011 |
| Case number: | 11CF254 |