| Date of birth: | 1963 |
| Hair: | Black |
| Eyes: | Brown |
| Unit description: | 922 Churchill St; Waupaca, WI 54981-2089; (715)258-4620 |
| Unit: | 4 07 |
| Pin number: | 815119 |
| Photo date: | Nov 2, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00552148 |
| Booking location: | Polk County, WI |
| Statute: | 813.125(7) M , 943.01(1) M , 947.01 M , 968.075(1)(A) |
| County: | WAUPACA |
| Convicted: | Oct 6, 2009 |
| Case number: | 09CM201 |