| Date of birth: | 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 04 |
| Pin number: | 863823 |
| Photo date: | Jan 4, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00568579 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M , 968.075(1)(A) |
| County: | OUTAGAMIE |
| Convicted: | Jan 4, 2011 |
| Case number: | 10CF717 |