| Date of birth: | 1992 |
| Unit description: | 2902 N. Mason St; Appleton, WI 54914-1316; (920)832-2700 |
| Unit: | 4 02 |
| Pin number: | 878763 |
| Photo date: | May 23, 2011 |
| Booking number: | 00574772 |
| Booking location: | Polk County, WI |
| Statute: | 946.41(1) M |
| County: | OUTAGAMIE |
| Convicted: | May 23, 2011 |
| Case number: | 10CM954 |