| Date of birth: | 1953 |
| Hair: | Brown |
| Eyes: | Hazel |
| Unit description: | 220 Seippel Boulevard; Suite 2; Beaver Dam, WI 53916-0517; (920)885-2940 |
| Unit: | 7 05 |
| Pin number: | 870522 |
| Photo date: | May 23, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00571216 |
| Booking location: | Polk County, WI |
| Statute: | 947.01 M |
| County: | FOND DU LAC |
| Convicted: | Mar 21, 2011 |
| Case number: | 11CM39 |