| Date of birth: | Oct 25, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Pin number: | 594986 |
| Photo date: | Nov 20, 2004 |
| Inmate status: | TERMINATED |
| Side: | RIGHT |
| Mark type: | TATTOO |
| Body part: | ARM |
| Booking number: | 00471556 |
| Booking location: | Grant County, WI |
| Statute: | 940.19(1) M, 943.01(1) M, 947.01 M |
| County: | GRANT |
| Convicted: | Nov 30, 2004 |
| Case number: | 04CF00134 |