| Date of birth: | Sep 28, 1966 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Photo date: | Aug 26, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00575097 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |