| Date of birth: | 1941 |
| Unit description: | 163 W. Rockwell St; Jefferson, WI 53549-1632; (920)674-7840 |
| Unit: | 7 09 |
| Pin number: | 788120 |
| Photo date: | Mar 23, 2009 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00543294 |
| Booking location: | Polk County, WI |
| Statute: | 346.63(1)(A) F |
| County: | JEFFERSON |
| Convicted: | Mar 16, 2009 |
| Case number: | 01CT564 |