| Date of birth: | 1959 |
| Hair: | Black-gray |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 187792 |
| Photo date: | May 1, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00140767 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M , 968.075(1)(A) |
| County: | POLK |
| Convicted: | May 1, 2009 |
| Case number: | 09CF18 |
| Statute: | 943.24 M |
| County: | POLK |
| Case number: | 83CR37 |