| Date of birth: | Aug 24, 1961 |
| Ethnicity: | Black |
| Hair: | Brown |
| Eyes: | Brown |
| Sbi number: | 000920549A |
| Admission date: | Oct 29, 2004 |
| Booking location: | Atlantic County, NJ |
| Discharge date: | Oct 29, 2004 |
| Offense date: | Jun 14, 2000 |
| Offense: | 1 count of : 2C:21-1*3 Forgery:Purposely,Knowingly /3 |
| Maximum term: | 3 Years |
| County of commitment: | Atlantic |
| Commitment order: | 00-10-02119-I |