| Date of birth: | Jul 18, 1956 |
| Hair: | Brown |
| Eyes: | Blue |
| Pin: | 567105 |
| Photo date: | Jun 21, 2004 |
| Inmate status: | TERMINATED |
| Side: | LEFT |
| Orientation: | UPPER |
| Mark type: | TATTOO |
| Body part: | ARM |
| Booking number: | 463747 |
| Booking location: | Burnett County, WI |
| Statute: | 943.24(1) M |
| County: | BURNETT |
| Convicted: | May 17, 2004 |
| Case number: | 04CM00082 |