| Date of birth: | 1958 |
| Unit description: | 304 Bickford Street; Suite 1; New Lisbon, WI 53920-1528; (608)562-6111 |
| Unit: | 8 19 |
| Pin number: | 875398 |
| Photo date: | May 25, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573513 |
| Booking location: | Polk County, WI |
| Statute: | 813.12(8) M , 968.075(1)(A)1 |
| County: | JUNEAU |
| Convicted: | May 6, 2011 |
| Case number: | 10CF229 |