| Date of birth: | Apr 17, 1980 |
| Ethnicity: | White |
| Hair: | Brown |
| Eyes: | Hazel |
| Sbi number: | 000482591C |
| Admission date: | Oct 23, 2009 |
| Booking location: | Gloucester County, NJ |
| Discharge date: | Oct 23, 2009 |
| Offense: | 1 count of : 2C:7-2D*4 Registration/Sex Offender-Fail to Regist |
| Maximum term: | 18 Months |
| County of commitment: | Gloucester |
| Commitment order: | GLO090700598I |