| Date of birth: | Jan 15, 1967 |
| Hair: | Gray |
| Eyes: | Brown |
| Unit description: | 1109 Professional Drive, Dodgeville, WI 53533, (608)935-3014 |
| Unit: | 8 12 |
| Pin number: | 950025 |
| Photo date: | Mar 12, 2013 |
| Booking number: | 00600413 |
| Booking location: | Iowa County, WI |
| Statute: | 944.20(1)(A) M |
| County: | IOWA |
| Convicted: | Mar 11, 2013 |
| Case number: | 12CM303 |