| Date of birth: | 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Unit description: | 941 Mallard Lane; #105; Balsam Lake, WI 54810; (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 819992 |
| Photo date: | Jan 7, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00553793 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 947.01 M , 968.075(1)(A) |
| County: | POLK |
| Convicted: | Dec 11, 2009 |
| Case number: | 09CM298 |