| Date of birth: | Aug 15, 1940 |
| Hair: | Gray |
| Eyes: | Brown |
| Unit description: | 163 W. Rockwell St, Jefferson, WI 53549-1632, (920)674-7840 |
| Unit: | 7 09 |
| Pin number: | 943919 |
| Photo date: | Jan 17, 2013 |
| Booking number: | 00597765 |
| Booking location: | Jefferson County, WI |
| Statute: | 947.01(1) M, 948.09 M , 948.40(1) M |
| County: | JEFFERSON |
| Convicted: | Jan 17, 2013 |
| Case number: | 12CF269 |