| Date of birth: | 1984 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 860319 |
| Photo date: | Feb 16, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00567473 |
| Booking location: | Polk County, WI |
| Statute: | 939.63(1)(B) , 941.20(1)(C) M , 941.30(2) F |
| County: | ASHLAND |
| Convicted: | Sep 27, 2010 |
| Case number: | 10CF41 |