| Date of birth: | Dec 9, 1963 |
| Hair: | Brown |
| Eyes: | Brown |
| Pin number: | 565818 |
| Photo date: | Jun 1, 2004 |
| Inmate status: | TERMINATED |
| Side: | RIGHT |
| Mark type: | MOLE |
| Body part: | CHEEK |
| Booking number: | 00463206 |
| Booking location: | Grant County, WI |
| Statute: | 947.01 M |
| County: | GRANT |
| Convicted: | Jun 1, 2004 |
| Case number: | 04CM00172 |