| Date of birth: | 1931 |
| Hair: | Gray |
| Eyes: | Blue |
| Unit description: | 2565 E. Johnson St; Madison, WI 53704; (608)243-3300 |
| Unit: | 1 13 |
| Pin number: | 746757 |
| Photo date: | Mar 11, 2010 |
| Booking number: | 00528815 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |