| Date of birth: | Sep 13, 1980 |
| Photo number: | J200421896 |
| Permanent id: | J200421896 |
| Cob number: | NEW JERSEY |
| Citizen: | NEW JERSEY |
| Ccis number: | 07-249578 |
| Booking number: | J200421896 |
| Booking date: | Nov 10, 2004 |
| Release date: | Nov 12, 2004 |
| Booking location: | Essex County, NJ |