| Date of birth: | 1982 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 4330 Golf Terrace; Suite 109; Eau Claire, WI 54701; (715)836-4764 |
| Unit: | 5 05 |
| Pin number: | 877642 |
| Photo date: | May 26, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574225 |
| Booking location: | Jefferson County, WI |
| Statute: | 940.19(1) M , 968.075(1)(A)1 |
| County: | EAU CLAIRE |
| Convicted: | May 17, 2011 |
| Case number: | 11CM229 |