| Date of birth: | 1982 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 875601 |
| Photo date: | May 24, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573573 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 968.075(1)(A) |
| County: | BURNETT |
| Convicted: | May 11, 2011 |
| Case number: | 11CM96 |