| Date of birth: | Jun 14, 1940 |
| Hair: | Brown |
| Eyes: | Brown |
| Unit description: | 1340 E. Green Bay St, Suite 200, Shawano, WI 54166-2198, (715)526-2159 |
| Unit: | 6 15 |
| Pin number: | 59952 |
| Photo date: | Sep 22, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Side: | RIGHT |
| Mark type: | TATTOO |
| Body part: | ARM |
| Booking number: | 00008567 |
| Booking location: | Shawano County, WI |
| Statute: | 346.63(1)(A) M |
| County: | SHAWANO |
| Convicted: | Sep 7, 2011 |
| Case number: | 11CM47 |