| Date of birth: | Jun 1, 1946 |
| Ethnicity: | Black |
| Hair: | Brown |
| Eyes: | Brown |
| Sbi number: | 000350980B |
| Admission date: | Jul 30, 2004 |
| Booking location: | Atlantic County, NJ |
| Discharge date: | Jul 30, 2004 |
| Offense date: | Jan 20, 2004 |
| Offense: | 1 count of : 2C:35-5A1*3 CDS/Manufacture,Distribute,Dispense /3 |
| Maximum term: | 3 Years |
| County of commitment: | Atlantic |
| Commitment order: | ATL040300481I |