| Date of birth: | 1965 |
| Unit description: | 260 Eastridge Drive; Suite II; Portage, WI 53901-1289; (608)742-4020 |
| Unit: | 8 10 |
| Pin number: | 830119 |
| Photo date: | Jul 21, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00557127 |
| Booking location: | Polk County, WI |
| Statute: | 939.62(1)(A) , ADMIN CODE M |
| County: | COLUMBIA |
| Convicted: | Mar 5, 2010 |
| Case number: | 08CM131 |