| Date of birth: | Apr 18, 1953 |
| Ethnicity: | Black |
| Hair: | Slt/pep |
| Eyes: | Brown |
| Sbi number: | 000422895A |
| Admission date: | Oct 14, 2005 |
| Booking location: | Atlantic County, NJ |
| Discharge date: | Oct 14, 2005 |
| Offense date: | Apr 29, 2005 |
| Offense: | 1 count of : 2C:21-17A1*4 Impersnate;TheftOfId:PecuniaryBenefit |
| Maximum term: | 365 Days |
| County of commitment: | Atlantic |
| Commitment order: | 05-07-01440-I |