| Date of birth: | Mar 20, 1940 |
| Ethnicity: | American Indian |
| Hair: | Gray |
| Eyes: | Blue |
| Sbi number: | 000715337B |
| Admission date: | Jun 19, 2003 |
| Booking location: | Monmouth County, NJ |
| Discharge date: | May 30, 2003 |
| Offense date: | Aug 10, 2002 |
| Offense: | 3 counts of : 2C:24-4A*3 Endngr Welfare/Child:Abuse by Other /3 |
| Maximum term: | 4 Years |
| County of commitment: | Monmouth |
| Commitment order: | 02-11-2170 |