| Date of birth: | May 17, 1984 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 941 Mallard Lane, #105, Balsam Lake, WI 54810, (715)485-3114 |
| Unit: | 5 08 |
| Pin number: | 958956 |
| Photo date: | Jul 18, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00604199 |
| Booking location: | Wisconsin |
| Statute: | 939.05, 943.20(1)(A) M |
| County: | POLK |
| Convicted: | Jun 24, 2013 |
| Case number: | 12CF461 |