| Date of birth: | 1963 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Photo date: | Feb 11, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00568612 |
| Booking location: | Polk County, WI |
| Statute: | 941.20(1)(A) M , 946.41(1) M |
| County: | POLK |
| Convicted: | Oct 14, 2010 |
| Case number: | 10CF165 |