| Date of birth: | Jan 10, 1952 |
| Ethnicity: | Black |
| Hair: | Black |
| Eyes: | Brown |
| Sbi number: | 000147332A |
| Admission date: | May 21, 2004 |
| Booking location: | Monmouth County, NJ |
| Discharge date: | May 21, 2004 |
| Offense date: | Aug 22, 2003 |
| Offense: | 1 count of : 2C:35-10A*3 CDS/Possession /3 |
| Maximum term: | 4 Years |
| County of commitment: | Monmouth |
| Commitment order: | MON040100231I |