| Date of birth: | Aug 16, 1954 |
| Hair: | Brown |
| Eyes: | Brown |
| Photo number: | J200419777 |
| Permanent id: | 2004-014654 |
| Complexion: | MEDIUM |
| Ccis number: | 07-247736 |
| Booking number: | J200419777 |
| Booking date: | Oct 16, 2004 |
| Release date: | Oct 16, 2004 |
| Booking location: | Essex County, NJ |