| Date of birth: | Apr 18, 1961 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 931338 |
| Photo date: | Sep 14, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00592404 |
| Booking location: | Polk County, WI |
| Statute: | 961.41(3G)(E) M |
| County: | POLK |
| Convicted: | Sep 4, 2012 |
| Case number: | 12CF246 |