| Date of birth: | 1955 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 201189 |
| Photo date: | Jul 2, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00154721 |
| Booking location: | Wood County, WI |
| Statute: | 946.41(1) M |
| County: | POLK |
| Convicted: | Jun 15, 2010 |
| Case number: | 10CF36 |
| Statute: | 943.10(1)(A) F |
| County: | DOUGLAS |
| Case number: | 83CR553 |