| Date of birth: | 1992 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 04 |
| Pin number: | 848904 |
| Photo date: | Aug 23, 2010 |
| Inmate status: | REVOKED |
| Booking number: | 00563379 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(E) M , 973.015 |
| County: | OUTAGAMIE |
| Convicted: | Aug 23, 2010 |
| Case number: | 10CM225 |
| Statute: | 947.01 , 973.015 |
| County: | OUTAGAMIE |
| Convicted: | Aug 23, 2010 |
| Case number: | 10CM364 |