| Date of birth: | Oct 17, 1960 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Hazel |
| Sbi number: | 000932156A |
| Admission date: | Oct 8, 2004 |
| Booking location: | Camden County, NJ |
| Discharge date: | Oct 8, 2004 |
| Offense date: | Dec 1, 2003 |
| Offense: | 1 count of : 2C:17-3A1*4 Criminal Mischief-Damage Property /4 |
| Maximum term: | 13 Months |
| County of commitment: | Camden |
| Commitment order: | CAM040100292A |