| Date of birth: | 1965 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 877566 |
| Photo date: | Jun 10, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574286 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |