| Date of birth: | 1992 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 837211 |
| Photo date: | Aug 11, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00559408 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(E) M , 961.573(1) M |
| County: | BURNETT |
| Convicted: | Apr 29, 2010 |
| Case number: | 09CF126 |