| Date of birth: | Apr 17, 1964 |
| Hair: | Brown |
| Eyes: | Blue |
| Pin: | 634089 |
| Photo date: | Aug 4, 2005 |
| Inmate status: | TERMINATED |
| Booking number: | 483615 |
| Booking location: | Wisconsin |
| Statute: | 049.141(6)(B) M, 049.795(2M) M |
| County: | CLARK |
| Convicted: | Aug 4, 2005 |
| Case number: | 04CF00111 |