| Date of birth: | Oct 26, 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 660645 |
| Photo date: | Apr 24, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00492987 |
| Booking location: | Burnett County, WI |
| Statute: | 940.09(1)(A) F |
| County: | BURNETT |
| Convicted: | Jan 6, 2006 |
| Case number: | 04CF00134 |