| Date of birth: | 1973 |
| Unit description: | 131 24th Street South; Wisconsin Rapids, WI 54494-6281; (715)422-5077 |
| Unit: | 8 08 |
| Pin number: | 868107 |
| Photo date: | Apr 26, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00570214 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M |
| County: | WOOD |
| Convicted: | Feb 8, 2011 |
| Case number: | 10CF206 |