| Date of birth: | Apr 16, 1983 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 1000 Log Lodge Ct, Baraboo, WI 53913-9293, (608)355-3840 |
| Unit: | 8 11 |
| Pin number: | 897243 |
| Photo date: | May 2, 2012 |
| Booking number: | 00581750 |
| Booking location: | Wisconsin |
| Statute: | 940.19(1) M, 968.075(1)(A) |
| County: | SAUK |
| Convicted: | Nov 30, 2011 |
| Case number: | 11CM663 |