| Date of birth: | 1973 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 878502 |
| Photo date: | Jun 23, 2011 |
| Booking number: | 00574694 |
| Booking location: | Sauk County, WI |
| Statute: | 346.63(1)(A) M , 346.65(2)(G)2 |
| County: | BURNETT |
| Convicted: | May 26, 2011 |
| Case number: | 09CT62 |