| Date of birth: | 1955 |
| Hair: | Gray |
| Eyes: | Blue |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 437102 |
| Photo date: | May 3, 2004 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00404258 |
| Booking location: | Polk County, WI |
| Statute: | 939.05 , 939.05 , 943.02(1)(A) F , 943.10(1) F , 943.20(1)(A) M , 948.40(1) F |
| County: | DODGE |
| Convicted: | Jan 18, 2001 |
| Case number: | 99CF00011 |