| Date of birth: | Oct 25, 1980 |
| Hair: | Bald |
| Eyes: | Brown |
| Inmate number: | 330042 |
| Booking number: | 2004100486 |
| Booking date: | Oct 21, 2004 |
| Release date: | Oct 23, 2004 |
| Booking location: | Santa Fe County, NM |
| Statute description: | PROBATION VIOLATION CC-01-05-062 |
| Statute: | 30-21-15 |
| Charge number: | 1 |
| Bond amount: | $0 #1 |