| Date of birth: | Nov 21, 1956 |
| Hair: | Gray |
| Eyes: | Brown |
| Unit description: | 220 Seippel Boulevard, Suite 2, Beaver Dam, WI 53916, (920)885-2940 |
| Unit: | 7 16 |
| Pin number: | 333791 |
| Photo date: | May 2, 2013 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00295240 |
| Booking location: | Dodge County, WI |
| Statute: | 346.63(1)(A) M, 346.65(2)(G)2 |
| County: | JEFFERSON |
| Convicted: | May 2, 2013 |
| Case number: | 12CT491 |