| Date of birth: | 1942 |
| Unit description: | 1340 E. Green Bay St; Suite 200; Shawano, WI 54166-2198; (715)526-2159 |
| Unit: | 6 15 |
| Pin number: | 518106 |
| Photo date: | Dec 22, 2003 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00449830 |
| Booking location: | Polk County, WI |
| Statute: | 943.20(1)(B) F , 943.38(1) F |
| County: | MENOMINEE |
| Convicted: | May 21, 2003 |
| Case number: | 03CF00001 |