| Date of birth: | Nov 17, 1965 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 956302 |
| Photo date: | Jul 17, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00603246 |
| Booking location: | Polk County, WI |
| Statute: | 939.05, 961.41(3G)(E) M, 961.573(1) M |
| County: | POLK |
| Convicted: | May 24, 2013 |
| Case number: | 12CF332 |