| Date of birth: | Dec 27, 1963 |
| Facility: | Released |
| Classification: | Not Classified |
| Arresting agency: | KENOSHA SHERIFF DEPT |
| Booking date: | May 15, 2004 |
| Release date: | May 15, 2004 |
| Booking location: | Kenosha County, WI |
| Disposition date: | May 15, 2004 |
| Court file: | 93FA184 |
| Charge: | CAPIAS |
| Bond or fine: | $500 |