| Date of birth: | Nov 6, 1975 |
| Unit description: | 922 Churchill St, Waupaca, WI 54981-2089, (715)258-4620 |
| Unit: | 4 07 |
| Photo date: | Sep 12, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00578759 |
| Booking location: | Wisconsin |
| Statute: | 346.63(2)(A)1 F |
| County: | PORTAGE |
| Convicted: | Jun 14, 2011 |
| Case number: | 10CF307 |