| Date of birth: | 1970 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 853425 |
| Photo date: | Oct 22, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00564827 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) M , 946.41(1) M , 946.49(1)(A) M |
| County: | POLK |
| Convicted: | Sep 8, 2010 |
| Case number: | 09CF200 |