| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 612082 |
| Photo date: | Mar 17, 2009 |
| Maximum discharge date: | Apr 11, 2012 |
| Booking number: | 00477123 |
| Release date: | Mar 24, 2009 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) F |
| County: | POLK |
| Convicted: | Dec 15, 2004 |
| Case number: | 01CF00050 |