| Date of birth: | 1955 |
| Unit description: | 163 W. Rockwell St; Jefferson, WI 53549-1632; (920)674-7840 |
| Unit: | 7 09 |
| Pin number: | 338872 |
| Photo date: | Dec 10, 2010 |
| Inmate status: | REVOKED |
| Booking number: | 00300620 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | JEFFERSON |
| Convicted: | Sep 12, 1995 |
| Case number: | 95CM00272 |