| Date of birth: | Jul 12, 1976 |
| Unit description: | 2902 N. Mason St, Appleton, WI 54914-1316, (920)832-2700 |
| Unit: | 4 02 |
| Pin number: | 924557 |
| Photo date: | Jun 1, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00589069 |
| Booking location: | Wisconsin |
| Statute: | 947.01(1) M, 968.075(1)(A) |
| County: | OUTAGAMIE |
| Convicted: | May 31, 2012 |
| Case number: | 12CM423 |