| Date of birth: | 1964 |
| Hair: | Gray |
| Eyes: | Blue |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 04 |
| Pin number: | 872638 |
| Photo date: | Apr 27, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00572261 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | WINNEBAGO |
| Convicted: | Mar 29, 2011 |
| Case number: | 11CM457 |