| Date of birth: | Oct 29, 1961 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Blue |
| Sbi number: | 000888691A |
| Admission date: | Apr 23, 2004 |
| Booking location: | Burlington County, NJ |
| Discharge date: | Apr 23, 2004 |
| Offense date: | Oct 30, 2002 |
| Offense: | 1 count of : 2C:35-5A1*3 CDS/Manufacture,Distribute,Dispense /3 |
| Maximum term: | 4 Years |
| Mandatory minimum term: | 1 Year |
| County of commitment: | Burlington |
| Commitment order: | BUR030500672I |