| Date of birth: | 1951 |
| Unit description: | 1000 Log Lodge Ct; Baraboo, WI 53913-9293; (608)355-3840 |
| Unit: | 8 11 |
| Pin number: | 96375 |
| Photo date: | Jul 15, 2003 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00045674 |
| Booking location: | Polk County, WI |
| Statute: | 940.01 F |
| County: | DANE |
| Case number: | CR12049 |