| Date of birth: | Jun 3, 1963 |
| Hair: | Brown |
| Eyes: | Blue |
| Unit description: | 427 East Tower Drive Suite 300, Wautoma, WI 54982-6927, (920)787-4406 |
| Unit: | 8 13 |
| Pin number: | 932999 |
| Photo date: | Sep 19, 2012 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Side: | RIGHT |
| Mark type: | TATTOO |
| Description: | USMC |
| Body part: | SHOULDER |
| Booking number: | 00593111 |
| Booking location: | Waushara County, WI |
| Statute: | 947.01 |
| County: | WAUSHARA |
| Convicted: | Sep 19, 2012 |
| Case number: | 11CM454 |