| Date of birth: | 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 862103 |
| Photo date: | Jan 3, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00568043 |
| Booking location: | Polk County, WI |
| Statute: | 946.49(1)(A) M , 947.01 M , 973.055(1) |
| County: | DODGE |
| Convicted: | Sep 13, 2010 |
| Case number: | 10CM358 |