| Date of birth: | Sep 15, 1969 |
| Unit description: | 131 24th Street South, Wisconsin Rapids, WI 54494-6281, (715)422-5077 |
| Unit: | 8 08 |
| Pin number: | 892716 |
| Photo date: | Sep 16, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00579969 |
| Booking location: | Wood County, WI |
| Statute: | 940.19(1) M |
| County: | WOOD |
| Convicted: | Sep 12, 2011 |
| Case number: | 11CF200 |