| Date of birth: | Sep 6, 1963 |
| Hair: | Brown |
| Eyes: | Green |
| Pin number: | 589969 |
| Photo date: | Oct 13, 2004 |
| Inmate status: | TERMINATED |
| Side: | LEFT |
| Orientation: | UPPER |
| Mark type: | MOLE |
| Body part: | LIP |
| Booking number: | 00470305 |
| Booking location: | St. Croix County, WI |
| Statute: | 961.41(3G)(E) M |
| County: | ST. CROIX |
| Convicted: | Oct 13, 2004 |
| Case number: | 04CF00202 |