| Date of birth: | Oct 9, 1974 |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 953839 |
| Photo date: | Jun 5, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00602345 |
| Booking location: | Wisconsin |
| Statute: | 939.63(1)(A), 947.01(1) M |
| County: | BURNETT |
| Convicted: | May 8, 2013 |
| Case number: | 12CF154 |