| Date of birth: | Apr 23, 1961 |
| Pin: | 554988 |
| Photo date: | May 6, 2004 |
| Inmate status: | TERMINATED |
| Booking number: | 459930 |
| Booking location: | Wisconsin |
| Statute: | 940.19(1) M, 941.20(1)(C) M, 968.075 |
| County: | OUTAGAMIE |
| Convicted: | Mar 8, 2004 |
| Case number: | 03CM01165 |