| Date of birth: | 1965 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Photo date: | Jun 6, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00572207 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(1)(H)5 F |
| County: | POLK |
| Convicted: | Jan 25, 2011 |
| Case number: | 10CF315 |