| Date of birth: | 1972 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 849609 |
| Photo date: | Sep 20, 2010 |
| Booking number: | 00563451 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) M |
| County: | POLK |
| Convicted: | Aug 26, 2010 |
| Case number: | 09CT186 |