| Date of birth: | 1954 |
| Hair: | Brown |
| Eyes: | Blue |
| Status: | ACTIVE COMMUNITY SUPERVISION |
| Region unit office: | Unit 402 |
| Region unit agent: | 4 02 19 |
| Region description: | 2902 Mason ST; Appleton, WI 54914; (920) 832-2700 |
| Doc: | 00452056 |
| Booking location: | Outagamie County, WI |
| Statute: | 940.19(1) , 947.01 |
| County: | WAUPACA |
| Convicted: | Sep 9, 2003 |
| Case number: | 03CM00407 |
| Statute: | UNKNOWN IC |
| County: | OUT-OF-STATE |