| Date of birth: | 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Unit description: | 1146 Grant St; Beloit, WI 53511-4125; (608)364-3040 |
| Unit: | 1 06 |
| Pin number: | 796348 |
| Photo date: | Jun 8, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00546195 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M , 968.075(1)(A) |
| County: | ROCK |
| Convicted: | Jun 8, 2009 |
| Case number: | 08CM3584 |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |