| Date of birth: | Apr 8, 1944 |
| Hair: | Brown |
| Eyes: | Blue |
| Pin number: | 161887 |
| Photo date: | Sep 28, 2004 |
| Inmate status: | TERMINATED |
| Side: | LEFT |
| Mark type: | SCAR |
| Body part: | HAND |
| Mark type: | SCAR |
| Body part: | NECK |
| Booking number: | 00113780 |
| Booking location: | Grant County, WI |
| Statute: | 947.01 M |
| County: | GRANT |
| Convicted: | Sep 28, 2004 |
| Case number: | 04CM00299 |
| Statute: | 941.30 F |
| County: | GRANT |
| Case number: | 132-1750 |