| Date of birth: | Mar 19, 1964 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Hazel |
| Sbi number: | 000472839B |
| Admission date: | Nov 5, 2003 |
| Booking location: | Atlantic County, NJ |
| Discharge date: | Nov 5, 2003 |
| Offense date: | Jul 13, 1996 |
| Offense: | 1 count of : 2C:35-10*3 CDS/Poss,Use or Being Under Influence /3 |
| Maximum term: | 4 Years |
| County of commitment: | Atlantic |
| Commitment order: | I-96-10-2248 |