| Date of birth: | Sep 14, 1942 |
| Hair: | Gray |
| Eyes: | Hazel |
| Unit description: | 940 Maritime Dr, Manitowoc, WI 54220-2921, (920)683-4590 |
| Unit: | 4 09 |
| Photo date: | Sep 20, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Side: | RIGHT |
| Mark type: | SCAR |
| Description: | Scar on right wrist |
| Body part: | WRIST |
| Booking number: | 00574762 |
| Booking location: | Manitowoc County, WI |
| Statute: | 346.63(1)(A) M |
| County: | MANITOWOC |
| Convicted: | May 11, 2011 |
| Case number: | 10CF418 |