| Date of birth: | Nov 30, 1974 |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 922190 |
| Photo date: | Jun 14, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00588012 |
| Booking location: | Wisconsin |
| Statute: | 940.225(3M) M |
| County: | POLK |
| Convicted: | Apr 24, 2012 |
| Case number: | 10CF191 |