| Date of birth: | Jan 23, 1945 |
| Hair: | Black |
| Eyes: | Black |
| Sbi number: | 000945364D |
| Facility: | Released by Court - CRAF |
| Admission date: | Dec 15, 2010 |
| Booking location: | Mercer County, NJ |
| Discharge date: | Dec 15, 2010 |
| Offense: | 1 count of : 2C:21-4 3C*2 Fraud:Health Care Claims/2 |
| Maximum term: | 3 Years |
| County: | Mercer |
| Commit number: | MER07-11-00159-S |