| Date of birth: | 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 940 Maritime Dr; Manitowoc, WI 54220-2921; (920)683-4590 |
| Unit: | 4 09 |
| Pin number: | 879028 |
| Photo date: | Jun 10, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00574826 |
| Booking location: | Manitowoc County, WI |
| Statute: | 961.41(3G)(B) M |
| County: | MANITOWOC |
| Convicted: | May 19, 2011 |
| Case number: | 11CM32 |