| Date of birth: | 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 04 |
| Pin number: | 859232 |
| Photo date: | May 6, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00567030 |
| Booking location: | Outagamie County, WI |
| Statute: | 961.41(3G)(D) M , 961.41(3G)(E) M |
| County: | WALWORTH |
| Convicted: | Dec 6, 2010 |
| Case number: | 10CM390 |