| Date of birth: | 1964 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 260 Eastridge Drive; Suite II; Portage, WI 53901-1289; (608)742-4020 |
| Unit: | 8 10 |
| Pin number: | 562625 |
| Photo date: | May 5, 2005 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00462334 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 941.30(1) F |
| County: | DODGE |
| Convicted: | Jan 20, 2004 |
| Case number: | 03CF00073 |