| Date of birth: | 1960 |
| Hair: | Brown |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 402 |
| Region unit agent: | 4 02 17 |
| Region description: | 2902 Mason ST; Appleton, WI 54914; (920) 832-2700 |
| Maximum discharge date: | Sep 17, 1982 |
| Doc: | 00110821 |
| Booking location: | Wisconsin |
| Statute: | 943.32(1)(B) |
| County: | OUTAGAMIE |
| Case number: | 79CF143 |