| Date of birth: | 1967 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 940 Maritime Dr; Manitowoc, WI 54220-2921; (920)683-4590 |
| Unit: | 4 09 |
| Pin number: | 453769 |
| Photo date: | Jul 7, 2003 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00421659 |
| Booking location: | Manitowoc County, WI |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |