| Date of birth: | May 15, 1961 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 894379 |
| Photo date: | Dec 7, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00580666 |
| Booking location: | Burnett County, WI |
| Statute: | 961.41(3G)(E) M |
| County: | BURNETT |
| Convicted: | Oct 31, 2011 |
| Case number: | 09CF95 |