| Date of birth: | 1966 |
| Unit description: | 1310 N 14th Street; Suite 260; Superior, WI 54880-0848; (715)392-7915 |
| Unit: | 5 06 |
| Pin number: | 847050 |
| Photo date: | Aug 27, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00562911 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(1)(E)1 F , 961.41(3G)(E) F |
| County: | DOUGLAS |
| Convicted: | Aug 13, 2010 |
| Case number: | 09CF294 |