| Date of birth: | 1983 |
| Unit description: | 200 N. Jefferson St, Suite 201; Green Bay, WI 54301-5188; (920)448-5383 |
| Unit: | 4 06 |
| Pin number: | 864653 |
| Photo date: | Mar 16, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00569031 |
| Booking location: | Polk County, WI |
| Statute: | 946.49(1)(A) M , 961.41(3G)(AM) F |
| County: | BROWN |
| Convicted: | Jan 14, 2011 |
| Case number: | 10CF1332 |