| Date of birth: | 1954 |
| Unit description: | 273 South 17th Avenue; West Bend, WI 53095; (262)335-5665 |
| Unit: | 7 13 |
| Pin number: | 187374 |
| Photo date: | Aug 4, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00140337 |
| Booking location: | Polk County, WI |
| Statute: | 161.41(1)(B) F |
| County: | WASHINGTON |
| Case number: | 82CR456 |