| Date of birth: | Jan 1, 1966 |
| Unit description: | 1146 Grant St, Beloit, WI 53511-4125, (608)364-3040 |
| Unit: | 1 08 |
| Pin number: | 951745 |
| Photo date: | Apr 12, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00601410 |
| Booking location: | Wisconsin |
| Statute: | 450.11(9)(B) F, 961.41(1)(H)1 F, 961.41(3G)(E) M |
| County: | GREEN |
| Convicted: | Feb 6, 2013 |
| Case number: | 12CF124 |