| Date of birth: | 1971 |
| Unit description: | 7017 Raywood Road; Madison, WI 53713; (608)224-6310 |
| Unit: | 1 21 |
| Pin number: | 858382 |
| Photo date: | Nov 18, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00566705 |
| Booking location: | Dane County, WI |
| Statute: | 940.19(1) M , 947.01 M |
| County: | DANE |
| Convicted: | Nov 18, 2010 |
| Case number: | 10CF1374 |