| Date of birth: | Nov 17, 1952 |
| Hair: | Black |
| Eyes: | Brown |
| Sbi number: | 000685452A |
| Admission date: | Nov 7, 1997 |
| Booking location: | Bergen County, NJ |
| Discharge date: | Nov 7, 1997 |
| Offense: | 1 count of : 2C:12-1B*2 Assault/Aggravated /2 |
| Maximum term: | 5 Years |
| County of commitment: | Bergen |
| Commitment order: | 96-12-1648-I |