| Date of birth: | Aug 25, 1964 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Brown |
| Sbi number: | 000392266B |
| Admission date: | Oct 28, 2003 |
| Booking location: | Monmouth County, NJ |
| Discharge date: | Oct 17, 2003 |
| Offense: | 1 count of : 2C:PV Parole Violator |
| Maximum term: | 273 Days |
| County of commitment: | Union |
| Commitment order: | PV99-07-0955-I |
| Discharge date: | Jan 17, 2003 |
| Offense date: | Aug 4, 2000 |
| Offense: | 1 count of : 2C:35-10*3 CDS/Poss,Use or Being Under Influence /3 |
| Maximum term: | 3 Years |
| County of commitment: | Monmouth |
| Commitment order: | 00-11-1891 |
| Discharge date: | Jul 19, 2002 |
| Offense date: | Jan 7, 1999 |
| Offense: | 1 count of : 2C:35-10A*3 CDS/Possession /3 |
| Maximum term: | 3 Years |
| County of commitment: | Union |
| Commitment order: | 99-07-0955-I |