| Date of birth: | Sep 3, 1960 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Blue |
| Sbi number: | 000810157A |
| Admission date: | Apr 2, 2004 |
| Booking location: | Warren County, NJ |
| Discharge date: | Apr 2, 2004 |
| Offense date: | May 5, 2003 |
| Offense: | 1 count of : 2C:12-1*4 Assault/Aggravated /4 |
| Maximum term: | 14 Months |
| County of commitment: | Warren |
| Commitment order: | WRN030800275I |