| Date of birth: | 1972 |
| Unit description: | 1310 N 14th Street; Suite 260; Superior, WI 54880-0848; (715)392-7915 |
| Unit: | 5 06 |
| Pin number: | 851320 |
| Photo date: | Oct 26, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00564177 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 946.41(1) M |
| County: | DOUGLAS |
| Convicted: | Sep 17, 2010 |
| Case number: | 10CM162 |