| Date of birth: | 1969 |
| Hair: | Brown |
| Eyes: | Blue |
| Status: | INCARCERATED |
| Region unit: | 5 08 |
| Region description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Institution: | Supervised Living Facility |
| Doc: | 00470769 |
| Booking location: | Wisconsin |
| Statute: | 948.02(2) F |
| County: | POLK |
| Convicted: | Aug 30, 2004 |
| Case number: | 04CF00032 |