| Date of birth: | Dec 22, 1974 |
| Hair: | Brown |
| Eyes: | Green |
| Photo date: | Oct 26, 2004 |
| Inmate status: | TERMINATED |
| Side: | LEFT |
| Orientation: | LOWER |
| Mark type: | MARK |
| Body part: | HAND |
| Booking number: | 00465797 |
| Booking location: | Winnebago County, WI |
| Statute: | 947.01 M, 973.055(1) |
| County: | WINNEBAGO |
| Convicted: | Jul 16, 2004 |
| Case number: | 04CM01142 |