| Date of birth: | 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 163 W. Rockwell St; Jefferson, WI 53549-1632; (920)674-7840 |
| Unit: | 7 09 |
| Pin number: | 852871 |
| Photo date: | Oct 6, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00564747 |
| Booking location: | Polk County, WI |
| Statute: | 941.20(1)(B) M |
| County: | JEFFERSON |
| Convicted: | Oct 5, 2010 |
| Case number: | 10CM141 |