| Date of birth: | 1957 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 820 Industrial Drive; Suite 6; Sparta, WI 54656-2207; (608)269-4545 |
| Unit: | 8 06 |
| Pin number: | 876700 |
| Photo date: | May 9, 2011 |
| Booking number: | 00574004 |
| Booking location: | Polk County, WI |
| Statute: | 946.49(1)(A) M |
| County: | MONROE |
| Convicted: | May 9, 2011 |
| Case number: | 11CM30 |