| Date of birth: | 1972 |
| Hair: | Blonde |
| Eyes: | Blue |
| Unit description: | 940 Maritime Dr; Manitowoc, WI 54220-2921; (920)683-4590 |
| Unit: | 4 09 |
| Pin number: | 610225 |
| Photo date: | Apr 26, 2011 |
| Booking number: | 00476468 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |