| Date of birth: | 1977 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 922 Churchill St; Waupaca, WI 54981-2089; (715)258-4620 |
| Unit: | 4 07 |
| Pin number: | 805560 |
| Photo date: | Sep 2, 2009 |
| Inmate status: | REVOKED |
| Booking number: | 00549226 |
| Booking location: | Polk County, WI |
| Statute: | 943.38(2) F |
| County: | PORTAGE |
| Convicted: | Aug 12, 2009 |
| Case number: | 07CF356 |