| Date of birth: | Oct 2, 1956 |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Photo date: | Jan 20, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00568140 |
| Booking location: | Burnett County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |