| Date of birth: | Aug 16, 1964 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 427 East Tower Drive Suite 300, Wautoma, WI 54982-6927, (920)787-4406 |
| Unit: | 8 13 |
| Pin number: | 900003 |
| Photo date: | Dec 22, 2011 |
| Booking number: | 00582954 |
| Booking location: | Waushara County, WI |
| Statute: | 941.10(1) M, 943.01(1) M, 947.01 M |
| County: | WAUSHARA |
| Convicted: | Dec 22, 2011 |
| Case number: | 11CF141 |