| Date of birth: | May 16, 1973 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 220 Seippel Boulevard, Beaver Dam, WI 53916-0517, (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 935967 |
| Photo date: | Oct 12, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00594381 |
| Booking location: | Dodge County, WI |
| Statute: | 940.19(1) M, 947.01(1) M, 973.055(1) |
| County: | DODGE |
| Convicted: | Oct 12, 2012 |
| Case number: | 12CF111 |