| Date of birth: | Sep 28, 1935 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Blue |
| Sbi number: | 525387 |
| Admission date: | Sep 28, 2001 |
| Booking location: | Burlington County, NJ |
| Discharge date: | Sep 28, 2001 |
| Offense date: | Jul 1, 2000 |
| Offense: | 1 count of : 2C:24-4A*3 Endngr Welfare/Child:Abuse by Other /3 |
| Maximum term: | 4 Years |
| County of commitment: | Burlington |
| Commitment order: | 00-11-974-I |