| Date of birth: | 1966 |
| Unit description: | 1146 Grant St; Beloit, WI 53511-4125; (608)364-3040 |
| Unit: | 1 06 |
| Pin number: | 860500 |
| Photo date: | Oct 13, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00567625 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |