| Date of birth: | Oct 20, 1978 |
| Unit description: | 131 24th Street South, Wisconsin Rapids, WI 54494-1907, (715)422-5077 |
| Unit: | 8 04 |
| Pin number: | 960015 |
| Photo date: | Aug 1, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00604577 |
| Booking location: | Wisconsin |
| Statute: | 943.01(1) M |
| County: | WOOD |
| Convicted: | Jun 25, 2013 |
| Case number: | 13CM58 |