| Date of birth: | 1973 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 803743 |
| Photo date: | Sep 28, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00548799 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M , 968.075(1)(A) |
| County: | POLK |
| Convicted: | Aug 14, 2009 |
| Case number: | 09CM38 |