| Date of birth: | 1966 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 569901 |
| Photo date: | Jul 13, 2004 |
| Inmate status: | ABSCOND |
| Booking number: | 00464569 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | POLK |
| Convicted: | Jun 28, 2004 |
| Case number: | 02CF00317 |