| Date of birth: | Dec 27, 1957 |
| Ethnicity: | Black |
| Hair: | Gray |
| Eyes: | Brown |
| Sbi number: | 000860645B |
| Admission date: | Jan 23, 2004 |
| Booking location: | Union County, NJ |
| Discharge date: | Jan 23, 2004 |
| Offense date: | Oct 6, 2003 |
| Offense: | 1 count of : 2C:35-10*3 CDS/Poss,Use or Being Under Influence /3 |
| Maximum term: | 3 Years |
| County of commitment: | Union |
| Commitment order: | 03-12-01469-A |