| Date of birth: | 1961 |
| Unit description: | 7017 Raywood Road; Madison, WI 53713; (608)224-6310 |
| Unit: | 1 21 |
| Photo date: | Sep 16, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00555377 |
| Booking location: | Polk County, WI |
| Statute: | 943.82(1) F |
| County: | DANE |
| Convicted: | Sep 2, 2009 |
| Case number: | 09CF293 |