| Date of birth: | 1975 |
| Hair: | Blonde |
| Eyes: | Blue |
| Unit description: | 1000 Log Lodge Ct; Baraboo, WI 53913-9293; (608)355-3840 |
| Unit: | 8 11 |
| Pin number: | 834086 |
| Photo date: | May 4, 2010 |
| Booking number: | 00558442 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 968.075(1)(A) |
| County: | SAUK |
| Convicted: | Apr 22, 2010 |
| Case number: | 10CM134 |