| Date of birth: | Oct 27, 1944 |
| Hair: | Brown |
| Eyes: | Hazel |
| Sbi number: | 923979 |
| Admission date: | Sep 6, 1996 |
| Booking location: | Camden County, NJ |
| Discharge date: | Sep 6, 1996 |
| Offense date: | Sep 6, 1996 |
| Offense: | 1 count of : 2C:12-1B*2 Assault/Aggravated /2 |
| Maximum term: | 7 Years |
| County of commitment: | Camden |
| Commitment order: | I-3191-12-95 |