| Date of birth: | Sep 13, 1987 |
| Unit description: | 5600 West Grande Market Dr, Appleton, WI 54913, (920)997-1480 |
| Unit: | 4 04 |
| Photo date: | Nov 10, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00579239 |
| Booking location: | Polk County, WI |
| Statute: | 939.62(1)(A), 943.01(1) M |
| County: | CALUMET |
| Convicted: | Sep 12, 2011 |
| Case number: | 11CM175 |