| Date of birth: | Aug 5, 1947 |
| Hair: | Gray |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 931844 |
| Photo date: | Sep 17, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00592624 |
| Booking location: | Polk County, WI |
| Statute: | 450.11(4)(A) M |
| County: | POLK |
| Convicted: | Sep 7, 2012 |
| Case number: | 12CF86 |