| Date of birth: | Oct 19, 1964 |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 918614 |
| Photo date: | Jan 15, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00586204 |
| Booking location: | Barron County, WI |
| Statute: | 346.63(1)(A) F |
| County: | POLK |
| Convicted: | Feb 2, 2012 |
| Case number: | 11CF337 |