| Date of birth: | Jan 15, 1915 |
| Hair: | Gray |
| Eyes: | Brown |
| Sbi number: | 285459D |
| Photo number: | J200416949 |
| Permanent id: | 2004-012141 |
| Ccis number: | 07-245251 |
| Booking number: | J200416949 |
| Booking date: | Sep 8, 2004 |
| Release date: | Sep 9, 2004 |
| Booking location: | Essex County, NJ |