| Date of birth: | 1979 |
| Unit description: | 2902 N. Mason St; Appleton, WI 54914-1316; (920)832-2700 |
| Unit: | 4 02 |
| Pin number: | 555515 |
| Photo date: | Aug 5, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00460245 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M |
| County: | OUTAGAMIE |
| Convicted: | Mar 10, 2004 |
| Case number: | 03CM01969 |