| Date of birth: | 1989 |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 876138 |
| Photo date: | Jun 10, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573777 |
| Booking location: | Polk County, WI |
| Statute: | 943.34(1)(A) M |
| County: | POLK |
| Convicted: | May 11, 2011 |
| Case number: | 10CF219 |