| Date of birth: | Jun 15, 1971 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 922 Churchill St, Waupaca, WI 54981-2089, (715)258-4620 |
| Unit: | 4 07 |
| Pin number: | 918656 |
| Photo date: | May 3, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00586315 |
| Booking location: | Waupaca County, WI |
| Statute: | 940.19(1) M, 947.01 M |
| County: | WAUPACA |
| Convicted: | Feb 27, 2012 |
| Case number: | 11CF218 |