| Date of birth: | 1979 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 465226 |
| Photo date: | Sep 18, 2003 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00433612 |
| Booking location: | Polk County, WI |
| Statute: | 939.50(3)(D) , 948.03(3)(A) F , 948.03(5) |
| County: | ST. CROIX |
| Convicted: | Apr 25, 2002 |
| Case number: | 01CF00307 |