| Date of birth: | 1972 |
| Unit description: | 1310 N 14th Street; Suite 260; Superior, WI 54880-0848; (715)392-7915 |
| Unit: | 5 06 |
| Pin number: | 876412 |
| Photo date: | Jul 5, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573866 |
| Booking location: | Polk County, WI |
| Statute: | 947.012(1)(A) M |
| County: | DOUGLAS |
| Convicted: | May 16, 2011 |
| Case number: | 10CM426 |