| Date of birth: | Sep 25, 1952 |
| Sbi number: | 882119a |
| Photo number: | J200421894 |
| Permanent id: | J200421894 |
| Cob number: | NEW JERSEY |
| Citizen: | NEW JERSEY |
| Ccis number: | 07-249575 |
| Booking number: | J200421894 |
| Booking date: | Nov 10, 2004 |
| Release date: | Nov 12, 2004 |
| Booking location: | Essex County, NJ |