| Date of birth: | Dec 17, 1970 |
| Pin number: | 567267 |
| Photo date: | Jul 6, 2004 |
| Inmate status: | TERMINATED |
| Booking number: | 00463717 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M, 968.075(1)(A) |
| County: | POLK |
| Convicted: | May 28, 2004 |
| Case number: | 03CM00397 |