| Date of birth: | Jul 12, 1944 |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 901387 |
| Photo date: | Jun 14, 2012 |
| Inmate status: | TERMINATED |
| Booking number: | 00583413 |
| Booking location: | Wisconsin |
| Statute: | 947.01 M |
| County: | POLK |
| Convicted: | Jan 11, 2012 |
| Case number: | 11CM354 |