| Date of birth: | Jun 23, 1957 |
| Hair: | Brown |
| Eyes: | Brown |
| Sbi number: | 000668090A |
| Facility: | Paroled from GARR |
| Admission date: | Sep 25, 2004 |
| Booking location: | Gloucester County, NJ |
| Discharge date: | Aug 24, 2004 |
| Offense date: | Oct 24, 2003 |
| Offense: | 1 count of : 2C:20-11 Shoplifting |
| Maximum term: | 1 Year 6 Months |
| County: | Gloucester |
| Commit number: | I-04-02-00100 |
