| Date of birth: | Jun 27, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 924919 |
| Photo date: | Jul 2, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00589327 |
| Booking location: | Wisconsin |
| Statute: | 943.14 M, 943.20(1)(A) M |
| County: | POLK |
| Convicted: | May 25, 2012 |
| Case number: | 10CF323 |