| Date of birth: | Aug 29, 1980 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Blue |
| Sbi number: | 000138252C |
| Admission date: | Dec 4, 2003 |
| Booking location: | Salem County, NJ |
| Discharge date: | Dec 4, 2003 |
| Offense: | 1 count of : 2C:24-4A*3 Endngr Welfare/Child:Abuse by Other /3 |
| Maximum term: | 4 Years |
| County of commitment: | Salem |
| Commitment order: | SLM030200071I |