| Date of birth: | 1965 |
| Unit description: | 1146 Grant St; Beloit, WI 53511-4125; (608)364-3040 |
| Unit: | 1 08 |
| Pin number: | 686007 |
| Photo date: | Aug 29, 2006 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00501162 |
| Booking location: | Polk County, WI |
| Statute: | 939.50(3)(I) , 961.41(3G)(AM) F |
| County: | GREEN |
| Case number: | 05CF00155 |