| Date of birth: | Jan 17, 1932 |
| Hair: | Gray |
| Eyes: | Brown |
| Sbi number: | 452249 |
| Admission date: | Jul 17, 1998 |
| Booking location: | Atlantic County, NJ |
| Discharge date: | Jul 17, 1998 |
| Offense: | 1 count of : 2C:21-6D*3 Credit Cards-Knowledge of Revocation /3 |
| Maximum term: | 3 Years |
| County of commitment: | Atlantic |
| Commitment order: | 96-12-02853I |