| Date of birth: | Oct 9, 1962 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 878417 |
| Photo date: | Dec 14, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574663 |
| Booking location: | Polk County, WI |
| Statute: | 940.43(1) F, 941.30(2) F |
| County: | POLK |
| Convicted: | Mar 22, 2011 |
| Case number: | 10CF305 |