| Date of birth: | 1978 |
| Hair: | Black |
| Eyes: | Brown |
| Unit description: | 427 East Tower Drive Suite 300; Wautoma, WI 54982-6927; (920)787-4406 |
| Unit: | 8 13 |
| Pin number: | 595237 |
| Photo date: | Aug 3, 2011 |
| Booking number: | 00471846 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M , 968.075(1)(A) |
| County: | GREEN LAKE |
| Convicted: | Nov 29, 2004 |
| Case number: | 04CM00277 |