| Date of birth: | Mar 19, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 666520 |
| Photo date: | Dec 19, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00495804 |
| Booking location: | Burnett County, WI |
| Statute: | 943.01(1) M, 943.20(1)(A) M, 943.23(4M) M |
| County: | PIERCE |
| Convicted: | Dec 19, 2011 |
| Case number: | 11CM174 |