| Date of birth: | Jun 17, 1956 |
| Hair: | Brown |
| Eyes: | Brown |
| Pin number: | 568679 |
| Photo date: | Jul 14, 2004 |
| Inmate status: | TERMINATED |
| Side: | LEFT |
| Mark type: | SCAR |
| Description: | SKIN CANCER |
| Body part: | NECK |
| Side: | RIGHT |
| Mark type: | SCAR |
| Description: | FUSION SURGERY |
| Body part: | NECK |
| Booking number: | 00464190 |
| Booking location: | Wisconsin |
| Statute: | 947.01 M |
| County: | WOOD |
| Convicted: | Jun 14, 2004 |
| Case number: | 04CM00062 |