| Date of birth: | 1960 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 427 East Tower Drive Suite 300; Wautoma, WI 54982-6927; (920)787-4406 |
| Unit: | 8 13 |
| Pin number: | 877682 |
| Photo date: | Jul 5, 2011 |
| Booking number: | 00574228 |
| Booking location: | Polk County, WI |
| Statute: | 943.24(2) F |
| County: | WINNEBAGO |
| Convicted: | May 16, 2011 |
| Case number: | 11CF62 |