| Date of birth: | Aug 8, 1963 |
| Ethnicity: | White |
| Hair: | Slt/pep |
| Eyes: | Hazel |
| Sbi number: | 000072405B |
| Admission date: | Aug 29, 2003 |
| Booking location: | Camden County, NJ |
| Discharge date: | Aug 29, 2003 |
| Offense date: | Jun 1, 2002 |
| Offense: | 1 count of : 2C:12-1B*4 Assault/Aggravated /4 |
| Maximum term: | 1 Year |
| County of commitment: | Camden |
| Commitment order: | I-2905-08-02 |