| Date of birth: | Aug 4, 1965 |
| Hair: | Blonde |
| Eyes: | Hazel |
| Unit description: | 163 W. Rockwell St, Jefferson, WI 53549-1632, (920)674-7840 |
| Unit: | 7 09 |
| Pin number: | 891533 |
| Photo date: | Oct 3, 2011 |
| Booking number: | 00579500 |
| Booking location: | Jefferson County, WI |
| Statute: | 947.01 M, 968.075(1)(A) |
| County: | JEFFERSON |
| Convicted: | Oct 3, 2011 |
| Case number: | 11CM373 |