| Date of birth: | 1981 |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 15 |
| Pin number: | 878713 |
| Photo date: | Jun 3, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574766 |
| Booking location: | Polk County, WI |
| Statute: | 943.10(1M)(A) F |
| County: | OUTAGAMIE |
| Convicted: | Jan 27, 2011 |
| Case number: | 10CF601 |