| Date of birth: | May 19, 1938 |
| Hair: | Gray |
| Pin number: | 541159 |
| Photo date: | Apr 22, 2004 |
| Inmate status: | TERMINATED |
| Side: | LEFT |
| Mark type: | SCAR |
| Description: | Scar fracture on left ankle |
| Body part: | ANKLE |
| Side: | RIGHT |
| Mark type: | SCAR |
| Description: | Scar on entire right shoulder |
| Body part: | SHOULDER |
| Side: | LEFT |
| Mark type: | TATTOO |
| Description: | Left forearm - blue dot |
| Body part: | ARM |
| Booking number: | 00456573 |
| Booking location: | Manitowoc County, WI |
| Statute: | 947.01 M |
| County: | MANITOWOC |
| Convicted: | Jan 16, 2004 |
| Case number: | 03CM00863 |