| Date of birth: | 1968 |
| Unit description: | 260 Eastridge Drive; Suite II; Portage, WI 53901-1289; (608)742-4020 |
| Unit: | 8 10 |
| Pin number: | 880970 |
| Photo date: | Jul 21, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00575608 |
| Booking location: | Polk County, WI |
| Statute: | 943.01(1) M , 968.075(1)(A) |
| County: | COLUMBIA |
| Convicted: | Jun 27, 2011 |
| Case number: | 11CM152 |