| Date of birth: | 1987 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 273 South 17th Avenue; West Bend, WI 53095; (262)335-5665 |
| Unit: | 7 13 |
| Pin number: | 559962 |
| Photo date: | May 11, 2004 |
| Inmate status: | REVOKED |
| Booking number: | 00461557 |
| Booking location: | Polk County, WI |
| Statute: | 946.41(1) M |
| County: | WASHINGTON |
| Convicted: | May 17, 2010 |
| Case number: | 09CM1732 |