| Date of birth: | 1971 |
| Hair: | Blonde |
| Eyes: | Blue |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit: | 5 08 |
| Region description: | 941 Mallard Lane; Suite 105; Balsam Lake, WI 54810; (715)485-3114 |
| Doc: | 00621155 |
| Booking location: | Polk County, WI |
| Statute: | 049.49(1)(A)3 F , 049.795(2) F |
| Description: | MA-Fail/Notify Circumstances(Items), a class H felony, Wisconsin Statutes 49.49(1)(a)3.; Misstate Facts in FS (>$100-$5000/1st), a class I felony, Wisconsin Statutes 49.795(2). |
| County: | POLK |
| Convicted: | Apr 24, 2014 |
| Case number: | 13CF214 |