| Date of birth: | May 31, 1958 |
| Hair: | Black |
| Eyes: | Blue |
| Unit description: | 220 Seippel Boulevard, Suite 2, Beaver Dam, WI 53916-0517, (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 923215 |
| Photo date: | May 9, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00588468 |
| Booking location: | Dodge County, WI |
| Statute: | 450.11(7)(H) M, 939.05, 941.316(2)(A) M |
| County: | DODGE |
| Convicted: | May 10, 2012 |
| Case number: | 12CF35 |