| Date of birth: | 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 861060 |
| Photo date: | Dec 20, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00567784 |
| Booking location: | Polk County, WI |
| Statute: | 943.20(1)(B) F , 943.38(2) F |
| County: | DODGE |
| Convicted: | Jun 28, 2010 |
| Case number: | 09CF396 |