| Date of birth: | 1992 |
| Unit description: | 838 Clermont Street; Antigo, WI 54409; (715)627-6262 |
| Unit: | 6 04 |
| Pin number: | 753696 |
| Photo date: | Jan 11, 2010 |
| Booking number: | 00529189 |
| Booking location: | Polk County, WI |
| Statute: | 943.20(1)(A) F |
| County: | LINCOLN |
| Convicted: | Jan 4, 2010 |
| Case number: | 09CF183 |