| Date of birth: | 1962 |
| Unit description: | 101 N Ogden Rd; Peshtigo, WI 54157; (715)582-2150 |
| Unit: | 6 16 |
| Pin number: | 876259 |
| Photo date: | Apr 27, 2011 |
| Inmate status: | REVOKED |
| Booking number: | 00573822 |
| Booking location: | Polk County, WI |
| Statute: | 943.50(1M)(B) M , 961.41(3G)(C) M |
| County: | BROWN |
| Convicted: | Apr 8, 2011 |
| Case number: | 10CF1223 |