| Date of birth: | 1971 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 273 South 17th Avenue; West Bend, WI 53095; (262)335-5665 |
| Unit: | 7 13 |
| Pin number: | 585812 |
| Photo date: | Sep 4, 2007 |
| Inmate status: | REVOKED |
| Booking number: | 00469008 |
| Booking location: | Polk County, WI |
| Statute: | 939.32 , 943.32(1)(A) F |
| County: | WASHINGTON |
| Convicted: | Aug 6, 2004 |
| Case number: | 04CF00134 |