| 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: | 647615 |
| Photo date: | Mar 9, 2007 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00487286 |
| Booking location: | Polk County, WI |
| Statute: | 939.62(1)(C) , 943.10(1M)(A) F |
| County: | POLK |
| Convicted: | Jun 6, 2005 |
| Case number: | 05CF00073 |