| Date of birth: | Sep 19, 1973 |
| Parole date: | Apr 25, 2011 |
| Parent institution: | CONCORDIA |
| Inmate status: | PAROLE |
| Admission date: | Apr 25, 2011 |
| Unit description: | 5600 West Grande Market Dr, Appleton, WI 54913, (920)997-1480 |
| Unit: | 4 04 |
| Pin number: | 853007 |
| Photo date: | Jan 19, 2011 |
| Maximum discharge date: | Aug 26, 2015 |
| Side: | CENTER |
| Orientation: | BACK |
| Mark type: | TATTOO |
| Body part: | BACK |
| Side: | LEFT |
| Orientation: | LOWER |
| Mark type: | TATTOO |
| Body part: | ANKLE |
| Mark type: | TATTOO |
| Body part: | NECK |
| Booking number: | 00564388 |
| Release date: | Aug 26, 2011 |
| Booking location: | Wisconsin |
| Booking number: | X72492 |
| Booking location: | Jackson County, IL |
| Statute: | 961.41(1M)(CM)3 F |
| County: | OUTAGAMIE |
| Convicted: | Aug 20, 2010 |
| Case number: | 10CF137 |