| Date of birth: | 1990 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 867937 |
| Photo date: | Apr 11, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00570275 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M |
| County: | BURNETT |
| Convicted: | Feb 4, 2011 |
| Case number: | 10CM265 |