| Date of birth: | 1981 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 817056 |
| Photo date: | Dec 11, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00552755 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 946.41(1) M |
| County: | POLK |
| Convicted: | Nov 20, 2009 |
| Case number: | 09CF301 |