| Date of birth: | 1970 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 800574 |
| Photo date: | Aug 6, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00547707 |
| Booking location: | Polk County, WI |
| Statute: | 943.34(1)(BM) F |
| County: | BURNETT |
| Convicted: | May 12, 2009 |
| Case number: | 08CF55 |