| Date of birth: | 1963 |
| Hair: | Gray |
| Eyes: | Hazel |
| Unit description: | 3422 Wilgus Ave; Sheboygan, WI 53081-4632; (920)459-3097 |
| Unit: | 7 08 |
| Pin number: | 876266 |
| Photo date: | Jul 26, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00573829 |
| Booking location: | Polk County, WI |
| Statute: | 940.19(1) M |
| County: | SHEBOYGAN |
| Convicted: | May 12, 2011 |
| Case number: | 11CF76 |