| Date of birth: | Sep 1, 1985 |
| Unit description: | 5600 West Grande Market Dr, Appleton, WI 54913, (920)997-1480 |
| Unit: | 4 04 |
| Photo date: | Sep 23, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00579702 |
| Booking location: | Polk County, WI |
| Statute: | 943.70(2)(A)5 M |
| County: | OUTAGAMIE |
| Convicted: | Sep 23, 2011 |
| Case number: | 11CM757 |