| Date of birth: | 1992 |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 04 |
| Photo date: | Jun 3, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573861 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(C) M , 961.573(1) M |
| County: | ASHLAND |
| Convicted: | May 9, 2011 |
| Case number: | 11CF34 |