| Date of birth: | Feb 4, 1942 |
| Hair: | Brown-gray |
| Eyes: | Blue |
| Pin number: | 630395 |
| Photo date: | Sep 7, 2005 |
| Inmate status: | TERMINATED |
| Mark type: | SCAR |
| Body part: | CHEST |
| Booking number: | 00482562 |
| Booking location: | Winnebago County, WI |
| Statute: | 947.01 M, 973.055(1) |
| County: | WINNEBAGO |
| Convicted: | Jul 13, 2005 |
| Case number: | 05CM01139 |