| Date of birth: | Jul 1, 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 940787 |
| Photo date: | Jan 16, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00596324 |
| Booking location: | Polk County, WI |
| Statute: | 943.15(1) M, 943.20(1)(A) M |
| County: | POLK |
| Convicted: | Nov 27, 2012 |
| Case number: | 12CF182 |