| Date of birth: | 1969 |
| Zip code: | 54701 |
| Status: | REVOKED |
| Region unit: | 5 08 |
| Region description: | 941 Mallard Lane #105 Balsam Lake, WI 54810 (715)485-3114 |
| Inmate name: | JACOB, MICHAEL A |
| Booking location: | Eau Claire County, WI |
| Statute: | 346.63(1)(A) F |
| County: | POLK |
| Convicted: | Nov 15, 2012 |
| Case number: | 12CF339 |