| Date of birth: | Oct 16, 1986 |
| Unit description: | 922 Churchill St, Waupaca, WI 54981-2089, (715)258-4620 |
| Unit: | 4 07 |
| Pin number: | 896426 |
| Photo date: | Nov 15, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00581345 |
| Booking location: | Waupaca County, WI |
| Statute: | 940.19(1) M, 968.075(1)(A) |
| County: | OUTAGAMIE |
| Convicted: | Nov 11, 2011 |
| Case number: | 10CM1077 |