| Date of birth: | Jan 1, 1955 |
| Hair: | Brown |
| Eyes: | Black |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 924758 |
| Photo date: | Jun 29, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00589194 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(1M)(H)2 F |
| County: | POLK |
| Convicted: | Mar 23, 2012 |
| Case number: | 10CF255 |