| Date of birth: | 1964 |
| Unit description: | 2700 College Drive; P.O. Box 68; Rice Lake, WI 54868-0068; (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 872030 |
| Photo date: | Apr 20, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00571970 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M |
| County: | BARRON |
| Convicted: | Mar 21, 2011 |
| Case number: | 11CF49 |