| Date of birth: | 1967 |
| Unit description: | 304 Bickford Street; Suite 1; New Lisbon, WI 53920-1528; (608)562-6111 |
| Unit: | 8 19 |
| Pin number: | 871570 |
| Photo date: | May 17, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00571766 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) M , 346.65(2)(G)1 |
| County: | MONROE |
| Convicted: | Apr 1, 2011 |
| Case number: | 10CT313 |