| Date of birth: | Oct 6, 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 2700 College Drive, P.O. Box 68, Rice Lake, WI 54868-0068, (715)234-6925 |
| Unit: | 5 04 |
| Pin number: | 890775 |
| Photo date: | Jun 21, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00579291 |
| Booking location: | Wisconsin |
| Statute: | 939.05, 943.10(1M)(A) F |
| County: | WASHBURN |
| Convicted: | Jul 14, 2011 |
| Case number: | 11CF18 |